DR. KATHERINE ALEXIS BLOOM (NPI# 1760697635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760697635 |
| Entity Type | Individual |
| Full Name | DR. KATHERINE ALEXIS BLOOM |
| Credential | M.D. |
| Practice Address |
55 Walls Dr Suite 405 Fairfield CT 06824-5163 |
| Practice Telephone | 2032597070 |
| Practice Fax Number | 2032547402 |
| Mailing Telephone | 2032597070 |
| Mailing Fax Number | 2032547402 |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2015-12-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207K00000X | Allergy & Immunology | 047707 | CT | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477117166 | Katherine Bloom | Behavior Technician | 250 W 99th St Apt 2d, New York, NY 10025-5442 | 2019-04-28 |
| 1780946129 | Katherine Kramer Bloom | Counselor | 3807 N 7th St, Phoenix, AZ 85014-5005 | 2012-06-12 |
| Street Address |
55 WALLS DR SUITE 405 |
| City | FAIRFIELD |
| State | CT |
| Zip Code | 06824-5163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174595847 | Kenneth Scott Backman | Allergy & Immunology | 55 Walls Dr, Ste. 405, Fairfield, CT 06824-5163 | 2006-02-06 |
| 1831759158 | Michelle Makarian | Speech-Language Pathologist | 55 Walls Dr, Fairfield, CT 06824-5163 | 2019-06-18 |
| 1356830970 | Christine Maier | Occupational Therapist | 55 Walls Dr, Fairfield, CT 06824-5163 | 2018-05-09 |
| 1710098645 | Allergy and Asthma Care of Fairfield County, LLC | Allergy & Immunology | 55 Walls Dr, Ste 405, Fairfield, CT 06824-5163 | 2006-08-31 |
| 1508807603 | Irena Veksler-offengenden | Allergy & Immunology | 55 Walls Dr, Ste. 405, Fairfield, CT 06824-5163 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942819826 | Lauren J Cotton | Student in an Organized Health Care Education/Training Program | 1073 North Benson Road, Fairfield, CT 06824 | 2020-07-28 |
| 1831652064 | Seagull Counseling & Therapy LLC | Social Worker | 35 Nutmeg Lane, Fairfield, CT 06824 | 2019-04-14 |
| 1871018390 | Richard Matthew Carraway | Nurse Practitioner | 117 Carlynn Drive, Fairfield, CT 06824 | 2017-08-05 |
| 1811426695 | Fairfield County Health & Wellness Services II LLC | Psychiatry & Neurology | 325 Reef Road/suite 109, Fairfield, CT 06824 | 2017-06-06 |
| 1487198214 | Evamarie Koehler Elinskas | Speech-Language Pathologist | 50 Potters Lane, Fairfield, CT 06824 | 2016-12-13 |
| 1447794441 | Nicholas C Kopazna | Counselor | 433 Meadow St, Fairfield, CT 06824 | 2016-12-09 |
| 1245686997 | Tyler Wayne Vitzthum | Chiropractor | 1995 Post Rd., Fairfield, CT 06824 | 2016-05-12 |
| 1184087660 | Beth Segaloff | Social Worker | 191 Catherine Terrace, Fairfield, CT 06824 | 2016-04-01 |
| 1518342781 | April Vanbergen | Counselor | 1275 Post Rd., Suite A5, Fairfield, CT 06824 | 2015-07-29 |
| 1982089181 | Mary Cilio | Social Worker | 173 Samp Mortar Drive, Fairfield, CT 06824 | 2015-07-29 |
| Find all providers in zip 06824 | ||||
| Taxonomy Code | 207K00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
| Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992990535 | Sara Ines Dever | Allergy & Immunology | 55 Walls Dr Ste 405, Fairfield, CT 06824-5163 | 2007-09-06 |
| 1083669709 | Arthur J Torre | Allergy & Immunology | 25 Hollywood Avenue, Fairfield, NJ 07004-1113 | 2006-05-23 |
| 1174595847 | Kenneth Scott Backman | Allergy & Immunology | 55 Walls Dr, Ste. 405, Fairfield, CT 06824-5163 | 2006-02-06 |
| 1306840343 | Kevin Peter Mcgrath | Allergy & Immunology | 2228 Black Rock Tpke, Suite 308, Fairfield, CT 06825-3237 | 2005-06-08 |
| 1992043483 | Allergy and Asthma Consultants of Fairfield County, LLC | Allergy & Immunology | 140 Sherman St Fl 3, Fairfield, CT 06824-5849 | 2013-01-18 |
| 1831383371 | Richard A Levin, Md,dmd,lawrence J. Fliegelman, M.d.,llc | Allergy & Immunology | 1305 Post Rd, Suite 302, Fairfield, CT 06824-6016 | 2007-08-28 |
| 1710098645 | Allergy and Asthma Care of Fairfield County, LLC | Allergy & Immunology | 55 Walls Dr, Ste 405, Fairfield, CT 06824-5163 | 2006-08-31 |
| 1508807603 | Irena Veksler-offengenden | Allergy & Immunology | 55 Walls Dr, Ste. 405, Fairfield, CT 06824-5163 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548654882 | Julie Dana Flom | Allergy & Immunology | 1 Park St # Wp2, New Haven, CT 06504-8901 | 2015-03-25 |
| 1235530155 | Neetu Godhwani | Allergy & Immunology | 107 Newtown Rd Ste 1b, Danbury, CT 06810-4151 | 2014-09-10 |
| 1629483599 | Gesher LLC | Allergy & Immunology | 4 Clifton Ave, Waterbury, CT 06710-1724 | 2014-06-30 |
| 1942576947 | Wei An | Allergy & Immunology | 836 Farmington Ave Ste 207, West Hartford, CT 06119-1544 | 2012-03-24 |
| 1285966150 | Richard Dale England | Allergy & Immunology | 22 Bittersweet Dr, East Lyme, CT 06333-1652 | 2010-02-03 |
| 1023129228 | Richard P Snyder | Allergy & Immunology | 263 Pomfret Street, Putnam, CT 06260-1835 | 2006-08-31 |
| 1689698094 | Mary Elizabeth Eslick | Allergy & Immunology | 59 Sachem St, Norwich, CT 06360-4201 | 2006-07-27 |
| 1063446698 | Jane Veronica Petroff | Allergy & Immunology | 57 North St Ste 216, Danbury, CT 06810-5627 | 2006-07-10 |
| 1366484123 | Birur G Chandra | Allergy & Immunology | 2044 Bridgeport Ave, Milford, CT 06460-4633 | 2006-06-12 |
| 1205894607 | Florence Ida Hsu | Allergy & Immunology | 6 Devine St Ste 2b, North Haven, CT 06473-2222 | 2006-05-03 |
| Find all providers with the same taxonomy | ||||
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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.