DR. JAMES G BLOM (NPI# 1871565556) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871565556 |
| Entity Type | Individual |
| Full Name | DR. JAMES G BLOM |
| Credential | MD |
| Practice Address |
3851 Piper St Tower U, Suite Ll002 Anchorage AK 99508-4684 |
| Mailing Address |
P.o. Box 94165 Seattle WA 98124-6465 |
| Practice Telephone | 9072123186 |
| Practice Fax Number | 9072123665 |
| Mailing Telephone | 9072123186 |
| Mailing Fax Number | 9072123665 |
| Enumeration Date | 2006-02-06 |
| Last Update Date | 2010-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
6548 | AK | Allopathic & Osteopathic Physicians |
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
MD0000036692 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS TN GROUP | 3045857 | 01 |
| TN | BLUE CROSS B/S TN INDIV. | 4045612 | 01 |
| Street Address |
3851 PIPER ST TOWER U, SUITE LL002 |
| City | ANCHORAGE |
| State | AK |
| Zip Code | 99508-4684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184605313 | Susan C. Delgalvis | Internal Medicine | 3851 Piper St, U340, Anchorage, AK 99508 | 2005-11-05 |
| 1093379315 | Austin T. Nelson, Md, P.C. | Internal Medicine | 3851 Piper St, Anchorage, AK 99508-4684 | 2019-04-23 |
| 1609223320 | Tina Tweedley | Pharmacist | 3851 Piper St, Suite U1254, Anchorage, AK 99508-4684 | 2016-05-23 |
| 1962809327 | Monica A Wolfe | Dietitian, Registered | 3851 Piper St, U340, Anchorage, AK 99508-4684 | 2014-12-01 |
| 1013313923 | Erica Fossler | Clinical Nurse Specialist | 3851 Piper St, Anchorage, AK 99508-4684 | 2014-11-05 |
| 1669887428 | Jeffrey W. Molloy, M.d, P.C. | Internal Medicine | 3851 Piper St, Suite U-466, Anchorage, AK 99508-4684 | 2014-06-30 |
| 1427491117 | Ronald J Boisen Md PC | Internal Medicine | 3851 Piper St, Suite U466, Anchorage, AK 99508-4684 | 2013-04-11 |
| 1669735882 | Joscelyn Vanduren | Registered Nurse | 3851 Piper St, Ull002, Anchorage, AK 99508 | 2012-06-21 |
| 1114217353 | Ronda Renea Nakoa | Nurse Practitioner | 3851 Piper St, Suite U-1401, Anchorage, AK 99508-4684 | 2011-04-08 |
| 1013145002 | Daryl M. Mcclendon, M.d., P.C. | Internal Medicine | 3851 Piper St, Suite U466, Anchorage, AK 99508-4684 | 2009-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366063349 | Alexandra L Davis | Student in an Organized Health Care Education/Training Program | 1202 E 36th Ave, Anchorage, AK 99508 | 2020-05-01 |
| 1366087108 | The Salvation Army, A California Corporation | Community/Behavioral Health | 3600 East 20th Avenue, Anchorage, AK 99508 | 2019-11-15 |
| 1679120349 | Kila Gilcart | Speech-Language Pathologist | 161 Klevin Street #103, Anchorage, AK 99508 | 2019-08-19 |
| 1326692963 | Shannon Maillet | Behavior Technician | 1650 S Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1427602044 | Frank Harris Lawson Iv | Behavior Technician | 1650 S. Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1104470723 | Vivalesi Seforosa Nair | Behavior Technician | 1650 South Bragaw, Anchorage, AK 99508 | 2019-07-31 |
| 1043864267 | The Cozy Chalet Assisted Living Home LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3707 Mt Blanc Circle, Anchorage, AK 99508 | 2019-07-25 |
| 1942861778 | Christine Mary Hoover | Registered Nurse | Alaska Native Medical Center - Inpatient Pediatrics, 4315 Diplomacy Dr, Anchorage, AK 99508 | 2019-06-24 |
| 1215594502 | Ashley Ongtowasruk | Case Manager/Care Coordinator | 4441 Dipomacy Dr, Suite 500, Anchorage, AK 99508 | 2019-05-22 |
| 1659937019 | Rayne Johnson | Behavior Technician | 4000 San Ernesto Blvd, Anchorage, AK 99508 | 2019-05-11 |
| Find all providers in zip 99508 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427476340 | Daniel Seible | Radiology | 2841 Debarr Rd Ste 100, Anchorage, AK 99508 | 2014-03-29 |
| 1558535971 | Jason Andrew Call | Radiology | 188 W Northern Lights Blvd Ste 100, Anchorage, AK 99503 | 2008-04-16 |
| 1942331558 | Malcolm I Bull | Radiology | 7220 Russell Cir, Anchorage, AK 99507-6755 | 2007-03-07 |
| 1730492588 | William Jared Magnuson | Radiology | 3851 Piper Street, Anchorage, AK 99507 | 2010-07-22 |
| 1407011208 | Larry Calvin Daugherty | Radiology | 188 W Northern Lights Blvd Ste 100, Anchorage, AK 99503-3902 | 2008-07-22 |
| 1205902491 | L Rodney Cook Md Pa | Radiology | 3200 Providence Drive, Anchorage, AK 99508 | 2006-11-28 |
| 1982676284 | John B Halligan | Radiology | 3851 Piper St, Tower U, Ste1, Anchorage, AK 99508 | 2006-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609202282 | Rbs Evolution of Juneau LLC | Radiology | 1701 Salmon Creek Rd, Juneau, AK 99801 | 2013-09-16 |
| 1316280209 | Rbs Evolution of Alaska LLC | Radiology | 240 Hospital Place, Soldotna, AK 99669 | 2013-03-29 |
| 1063711026 | John Stuart Yordy | Radiology | 2490 S Woodworth Loop Ste 150, Palmer, AK 99645-7407 | 2011-03-16 |
| 1972626927 | Eugene Hsu Huang | Radiology | 1701 Salmon Creek Lane, Juneau, AK 99801-7868 | 2007-04-06 |
| 1447570874 | Valley Radiation Oncology | Radiology | 2490 S Woodworth Loop, Suite 150, Palmer, AK 99645-7405 | 2010-06-08 |
| 1356437792 | Fairbanks Radiation Oncology LLC | Radiology | 1650 Cowles Street, Fairbanks, AK 99701 | 2006-10-05 |
| 1891881231 | Essam D Shihadeh | Radiology | 1650 Cowles Street, Fairbanks, AK 99701 | 2006-10-05 |
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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.