DANIEL EDWARD BLOOM (NPI# 1598301632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598301632 |
| Entity Type | Individual |
| Full Name | DANIEL EDWARD BLOOM |
| Credential | PHYSICIAN ASSISTANT |
| Practice Address |
Naval Branch Health Clinic Gulfport 5502 Marvin Shields Blvd Gulfport MS 39501 |
| Mailing Address |
Naval Hospital Pensacola 6000 West Highway 98 Pensacola FL 32512-0003 |
| Practice Telephone | 2288714033 |
| Mailing Telephone | 8505056601 |
| Enumeration Date | 2019-11-25 |
| Last Update Date | 2019-11-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 1165862 | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Naval Hospital Pensacola 6000 West Highway 98, Pensacola, FL 325120001 | 8505056601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932267788 | Daniel J. Bloom | Social Worker | 220 W 15th St, 1b, New York, NY 10011-6534 | 2006-12-05 |
| 1790059921 | Daniel G Bloom | Radiology | 12554 Riata Vista Cir, Austin, TX 78727-6431 | 2012-03-06 |
| Street Address |
NAVAL BRANCH HEALTH CLINIC GULFPORT 5502 MARVIN SHIELDS BLVD |
| City | GULFPORT |
| State | MS |
| Zip Code | 39501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730721374 | Affinity Healthcare LLC | Non-emergency Medical Transport (VAN) | 1822 15th St, Suite 8, Gulfport, MS 39501 | 2019-10-15 |
| 1093361156 | Gulf Coast Companion Care, LLC | Home Health | 1314 Pass Road, Ste B, Gulfport, MS 39501 | 2019-08-14 |
| 1609420991 | Greg Meekin Ent | Otolaryngology | 1201 31st Avenue, Gulfport, MS 39501 | 2019-07-25 |
| 1225681216 | Murphy Chiropractic Gulfport, LLC | Clinic/Center | 2700 25th Ave., Gulfport, MS 39501 | 2019-07-19 |
| 1477022838 | Patriot Healthcare of Mississippi, LLC | Family Medicine | 1110 Broad Street, Suite 300, Gulfport, MS 39501 | 2018-11-15 |
| 1477003028 | Mindful Matters | Nurse Practitioner | 1613 23rd Avenue, Gulfport, MS 39501 | 2016-10-06 |
| 1902294093 | Tangular Barnes | Nurse Practitioner | Gulf Coast Mental Health Center, 1600 Broad Ave, Gulfport, MS 39501 | 2014-12-25 |
| 1487065355 | Huong Nguyen | Pharmacist | 2433 25th Avenue, Gulfport, MS 39501 | 2014-05-14 |
| 1770907412 | Matthew Coleman | Military Health Care Provider | Nbhc Naval Construction Battalion Center Gulfport, 5501 Marvin Shields Blvd, Gulfport, MS 39501 | 2014-02-18 |
| 1063781086 | Harbor View Oral and Facial Surgery LLC | Dentist | 1301 25th Avenue, Suite 3, Gulfport, MS 39501 | 2011-12-20 |
| Find all providers in zip 39501 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801446000 | Joshua Mcniel | Physician Assistant | 4533 13th St, Gulfport, MS 39501-2516 | 2019-09-19 |
| 1083158307 | Wesley Armstrong | Physician Assistant | 15200 Community Rd, Gulfport, MS 39503-3085 | 2016-12-05 |
| 1497207591 | Jared Castro | Physician Assistant | 5501 Marvin Shields Blvd, Gulfport, MS 39501-9007 | 2016-10-25 |
| 1932522281 | Jason W Caswell | Physician Assistant | 15476 Dedeaux Rd, Gulfport, MS 39503-2637 | 2014-01-22 |
| 1740533280 | Barbra Ellen Jablanski | Physician Assistant | 11295 E Taylor Rd, Gulfport, MS 39503 | 2012-10-22 |
| 1669722799 | Jamie Lynne Dubeck | Physician Assistant | 5501 Marvin Shields Blvd, Gulfport, MS 39501-9007 | 2012-09-17 |
| 1508143546 | Emily Anne Burger | Physician Assistant | 11295 E Taylor Rd, Gulfport, MS 39503-4197 | 2011-11-04 |
| 1649552563 | Taylor E. Covington | Physician Assistant | 1340 Broad Ave, Suite 210, Gulfport, MS 39501-2404 | 2011-09-16 |
| 1427349885 | Jamie Olsen Williams | Physician Assistant | 15200 Community Rd, Gulfport, MS 39503-3085 | 2011-04-20 |
| 1245567775 | Kassie Stafford | Physician Assistant | 11295 E Taylor Rd, Gulfport, MS 39503-4197 | 2009-11-04 |
| Find all providers in GULFPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.