DR. ANDREW DAVID BLOOM (NPI# 1891092466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891092466 |
| Entity Type | Individual |
| Full Name | DR. ANDREW DAVID BLOOM |
| Credential | M.D. |
| Practice Address |
650 Huebner Rd Fort Riley KS 66442-4030 |
| Practice Telephone | 7852397777 |
| Mailing Telephone | 7852397777 |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2016-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 26899 | NE | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891309555 | Andrew Allyn Bloom | Physician Assistant | 5889 Bow St, Bow, WA 98232-8620 | 2020-09-01 |
| 1417483876 | Andrew Bloom | Dentist | 200 Medical Dr Ste A, Carmel, IN 46032-2985 | 2017-05-04 |
| 1750919957 | Andrew James Bloom | Student in an Organized Health Care Education/Training Program | 150 Bergen St # G-142, Newark, NJ 07103-2496 | 2020-04-01 |
| 1982019949 | Andrew Bloom | Emergency Medicine | 14700 E Old Us Highway 12, Chelsea, MI 48118-1185 | 2014-06-27 |
| 1245665884 | Andrew Jason Bloom | Physician Assistant | 3000 Q St Fl 4, Sacramento, CA 95816-7058 | 2013-09-12 |
| Street Address |
650 HUEBNER RD |
| City | FORT RILEY |
| State | KS |
| Zip Code | 66442-4030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306847843 | Debbie A Roper | Physician Assistant | 650 Huebner Rd, Fort Riley, KS 66442 | 2005-08-09 |
| 1679173850 | Kilynn Marie Elliott | Registered Nurse | 650 Huebner Rd, Fort Riley, KS 66442-4030 | 2020-10-28 |
| 1700485885 | Edwin K. Huie | Pharmacist | 650 Huebner Rd, Fort Riley, KS 66442-4030 | 2020-10-20 |
| 1891307484 | Stefanie Renee Laudick | Registered Nurse | 650 Huebner Rd, Fort Riley, KS 66442-4030 | 2020-08-17 |
| 1912518481 | Shana Christine Roether | Nurse Practitioner | 650 Huebner Rd, Fort Riley, KS 66442-4030 | 2020-08-10 |
| 1154958957 | Jason Farris | Registered Nurse | 650 Huebner Rd, Fort Riley, KS 66442-4030 | 2020-03-24 |
| 1760017420 | Dallas Tristan Mason | Physician Assistant | 650 Huebner Rd, Fort Riley, KS 66442-4030 | 2020-03-03 |
| 1518591098 | Hassanah Bolton | Social Worker | 650 Huebner Rd, Fort Riley, KS 66442-4030 | 2020-02-24 |
| 1457984189 | Adam Richard Todd | Physician Assistant | 650 Huebner Rd, Fort Riley, KS 66442-4030 | 2020-02-21 |
| 1306482484 | Matthew Scott Poe | Physician Assistant | 650 Huebner Rd, Fort Riley, KS 66442-4030 | 2019-11-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144821588 | Leona Marie Walker | Registered Nurse | Bldg. 650 Huebner Road, Fort Riley, 66442, Apo, AA 66442 | 2020-11-03 |
| 1306392915 | Tiffany Sapp | Dental Assistant | 7670 Estes Rd, Ft. Riley, KS 66442 | 2016-09-01 |
| 1326594938 | Kamilla Evans | Dental Assistant | Building 7670 Estes Road, Apo, AA 66442 | 2016-09-01 |
| 1073970547 | Raymond Justin Myles Jr. | Psychologist | 609a Warrior Road, Fort Riley, KS 66442 | 2016-01-28 |
| 1669864096 | Luann Underwood | Counselor | 7424 Apennines Drive, Army Substance Abuse Program, Fort Riley, KS 66442 | 2015-02-23 |
| 1043622954 | Daniel K. Schuerch | Social Worker | 650 Huebner Rd Ofc 4b183, Fort Riley, KS 66442 | 2014-05-27 |
| 1295146223 | Logan Robert Gorges | Emergency Medicine | 814 Marshall Dr, Fort Riley, KS 66442 | 2014-05-13 |
| 1518386127 | Irwin Army Community Hospital | Clinic/Center | Normandy Drive Bldg 7665, Ft Riley, KS 66442 | 2014-04-10 |
| 1326465832 | Irwin Army Community Hospital | Clinic/Center | 7006 Normandy Ave, Ft Riley, KS 66442 | 2014-03-21 |
| 1770905812 | Caryn Deborah Wayne | Physician Assistant | Fort Riley, Apo, AA 66442 | 2014-01-08 |
| Find all providers in zip 66442 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295146223 | Logan Robert Gorges | Emergency Medicine | 814 Marshall Dr, Fort Riley, KS 66442 | 2014-05-13 |
| 1386064467 | Jessica Danielle Carmichael | Emergency Medicine | 650 Huebner Rd, Fort Riley, KS 66442-4030 | 2014-04-16 |
| 1568704088 | Stuart Conner | Emergency Medicine | 650 Huebner Rd, Fort Riley, KS 66442-4030 | 2013-03-22 |
| 1023350899 | Jason N Butler | Emergency Medicine | 650 Huebner Rd, Fort Riley, KS 66442-4030 | 2013-03-20 |
| 1902987027 | Jeffrey G Blue | Emergency Medicine | 600 Caisson Hill Road, Attn: Mcxx-cld-qm (cred), Fort Riley, KS 66442-5037 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912563701 | Catherine Edwards Waldrop | Emergency Medicine | 5914 Johnson Dr, Mission, KS 66202-3329 | 2019-05-16 |
| 1841754660 | Cep America - Kansas, LLC | Emergency Medicine | 3251 N Rock Rd, Derby, KS 67037-3850 | 2019-01-25 |
| 1811491012 | Daniel Martin Kolm | Emergency Medicine | 2106 Olathe Blvd Ms 1060, Kansas City, KS 66160 | 2018-03-21 |
| 1417400235 | Medexpress Urgent Care Kansas, P.a. | Emergency Medicine | 1261 N Maize Road, Wichita, KS 67212-4302 | 2016-07-28 |
| 1710340443 | Medexpress Urgent Care Kansas, P.a. | Emergency Medicine | 2001 N Rock Road, Derby, KS 67037-3795 | 2016-03-31 |
| 1326433277 | Medexpress Urgent Care Kansas, P.a. | Emergency Medicine | 3420 W 6th St, Lawrence, KS 66049-3215 | 2015-03-30 |
| 1063751352 | Runway Emergency Physicians LLC | Emergency Medicine | 8714 W 13th St N, Wichita, KS 67212-6221 | 2013-02-06 |
| 1982909891 | Mark Joshua Foland | Emergency Medicine | 8929 Parallel Parwkay, Attn: Emergency Department, Kansas City, KS 66112 | 2011-01-24 |
| 1194031542 | Kyung Hun Nam | Emergency Medicine | 3901 Rainbow Blvd - Ms1045, Kansas City, KS 66160 | 2010-08-24 |
| 1861717696 | Staci Nicole Reintjes | Emergency Medicine | 5061 Mission Rd, Westwood, KS 66205-1640 | 2010-04-05 |
| Find all providers with the same taxonomy | ||||
| City | FORT RILEY |
| Zip Code | 66442 |
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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.