STEPHEN MICHAEL BLUM (NPI# 1861441560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861441560 |
| Entity Type | Individual |
| Full Name | STEPHEN MICHAEL BLUM |
| Credential | MD |
| Practice Address |
1001 Nw Lovejoy St Unit 706 Portland OR 97209-3566 |
| Mailing Address |
23625 Commerce Park Suite 204 Beachwood OH 44122 |
| Practice Telephone | 5037196544 |
| Practice Fax Number | 8668982159 |
| Mailing Telephone | 2162555743 |
| Mailing Fax Number | 8667353451 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2012-03-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085N0700X |
Radiology Specialization: Neuroradiology |
036077134 | IL | Allopathic & Osteopathic Physicians |
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
0036077134 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 402417602 | 05 | |
| IL | 036077134 | 05 | |
| OH | 2749477 | 05 | |
| MD | 402417601 | 05 | |
| NY | 00598870 | 05 | |
| IL | DEA | BB4757956 | 01 |
| OR | RAILROAD MCR | P00922031 | 01 |
| LA | 1451169 | 05 | |
| TRICARE NORTH | 1861441560 | 01 | |
| ID | 808256100 | 05 | |
| WA | 8529588 | 05 | |
| AZ | 235428 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124022736 | Stephen H Blum | Psychologist | 835 Sw Western Ave, Topeka, KS 66606-1446 | 2005-06-10 |
| 1659389724 | Stephen L Blum | Dermatology | 3939 W Green Oaks Blvd, Suite 103, Arlington, TX 76016-2784 | 2006-08-04 |
| Street Address |
1001 NW LOVEJOY ST UNIT 706 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-3566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
| 1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
| 1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| Find all providers in zip 97209 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528413754 | Bay Area Radiology, PC | Radiology | 2823 Ne 55th Ave, Portland, OR 97213-3439 | 2016-04-25 |
| 1790171585 | Dianna Howard | Radiology | 3181 Sw Sam Jackson Rd, Portland, OR 97239-3011 | 2015-04-08 |
| 1245674506 | Jaryd Yee | Radiology | Ohsu Radiology Department, 3181 Sw Sam Jackson Park Rd., Portland, OR 97239-3011 | 2013-04-17 |
| 1700175874 | Ramsey Al-hakim | Radiology | 3181 Sw Sam Jackson Park Rd # L605, Portland, OR 97239-3011 | 2011-03-29 |
| 1386961712 | Yama Kharoti | Radiology | 2801 N Gantenbein Ave Ste 4239, Portland, OR 97227-1623 | 2010-04-25 |
| 1639313273 | David Pettersson | Radiology | Ohsu, 3181 Sw Sam Jackson Park Road, Portland, OR 97239 | 2009-04-27 |
| 1629276191 | Joe Mun-jung Chan | Radiology | 3181 Sw Sam Jackson Park Rd # L-340, Portland, OR 97239-3011 | 2007-07-06 |
| 1194846345 | Jay H Donohoo | Radiology | 01641 Sw Comus St, Portland, OR 97219-7858 | 2007-04-03 |
| 1851458046 | Summit Radiology Inc | Radiology | 1243 Sw Texas St, Portland, OR 97219-2046 | 2007-01-03 |
| 1376600064 | Jeffrey Terrance Hal | Radiology | 1926 W Burnside St, Unit 1604, Portland, OR 97209-2066 | 2007-01-02 |
| Find all providers in PORTLAND | ||||
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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.