ANDREW ALLYN BLOOM (NPI# 1891309555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891309555 |
| Entity Type | Individual |
| Full Name | ANDREW ALLYN BLOOM |
| Credential | PA-C |
| Practice Address |
5889 Bow St Bow WA 98232-8620 |
| Practice Telephone | 4252238155 |
| Mailing Telephone | 4252238155 |
| Enumeration Date | 2020-09-01 |
| Last Update Date | 2020-09-01 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1891092466 | Andrew David Bloom | Emergency Medicine | 650 Huebner Rd, Fort Riley, KS 66442-4030 | 2011-02-17 |
| Street Address |
5889 BOW ST |
| City | BOW |
| State | WA |
| Zip Code | 98232-8620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578786828 | Elizabeth Susan Zebold | Massage Therapist | 952 Oyster Creek Lane, Bow, WA 98232 | 2007-04-11 |
| 1760579114 | Pamela Hoekstra | Counselor | 17366 Allen Rd, Bow, WA 98232 | 2006-10-06 |
| 1558573022 | Londa Sue Damon | Massage Therapist | 9015 Avon Allen Rd, Bow, WA 98232-8703 | 2007-05-04 |
| 1245673631 | Christine H Waddell | Speech-Language Pathologist | 5801 Main St, Bow, WA 98232-9244 | 2013-04-16 |
| 1457499196 | Winifred Gail Mcnamara | Registered Nurse | 9213 Marshall Rd, Bow, WA 98232-9361 | 2007-02-02 |
| 1265672133 | Jennifer Marie Hamley | Massage Therapist | 5028 Roney Rd, Bow, WA 98232-9387 | 2009-03-04 |
| 1639789787 | Catrice Opichka | Dental Hygienist | 1118 Hilty Ln, Bow, WA 98232-9544 | 2020-08-04 |
| 1073131918 | Amanda Lynn Fisher | Registered Nurse | 9451 Charity Ln, Bow, WA 98232-9771 | 2020-07-08 |
| 1659714277 | Kathleen Johnson Becker | Speech-Language Pathologist | 17145 Cook Rd, Bow, WA 98232-9797 | 2013-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861009334 | Sarah Elizabeth Smith | Physician Assistant | 10 Hampshire Hills Dr, Bow, NH 03304-4920 | 2020-09-28 |
| 1639789787 | Catrice Opichka | Dental Hygienist | 1118 Hilty Ln, Bow, WA 98232-9544 | 2020-08-04 |
| 1073131918 | Amanda Lynn Fisher | Registered Nurse | 9451 Charity Ln, Bow, WA 98232-9771 | 2020-07-08 |
| 1629691894 | Johanna Rodriguez | Nurse Practitioner | 62 Albin Rd, Bow, NH 03304-3707 | 2020-05-22 |
| 1649734344 | Taylor Vogt | Specialist/Technologist | 135 Bow Bog Rd, Bow, NH 03304-4001 | 2019-01-27 |
| 1710457031 | Deborah Marie Chulada | Dietitian, Registered | 20 Jonathan Lane, Bow, NH 03304 | 2018-11-29 |
| 1871061853 | Lois Ann Fahey | Dietitian, Registered | 20 Pepin Drive, Bow, NH 03304 | 2018-11-07 |
| 1902397656 | Rest Assured Home Care LLC | In Home Supportive Care | 28 Jonathan Ln, Bow, NH 03304-3716 | 2018-05-29 |
| 1659776052 | Debra Chalk | Registered Nurse | 3 Everett Ave, Bow, NH 03304-3400 | 2014-10-28 |
| 1598196099 | Lisa Lavigne | Physical Therapist | 120 Woodhill Rd, Bow, NH 03304-5313 | 2013-12-09 |
| Find all providers in BOW | ||||
| 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 |
|---|---|---|---|---|
| 1861009334 | Sarah Elizabeth Smith | Physician Assistant | 10 Hampshire Hills Dr, Bow, NH 03304-4920 | 2020-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831790591 | Bailey Mantha-nagrant | Physician Assistant | 7912 170th Ave Ne Unit 301, Redmond, WA 98052-0907 | 2020-11-07 |
| 1518567791 | Addison Christine Richert | Physician Assistant | 121 Kingfisher Pl, Port Hadlock, WA 98339-8733 | 2020-10-28 |
| 1992312177 | Robert Monsees | Physician Assistant | 490 Packwood Ln, Ellensburg, WA 98926-8027 | 2020-09-30 |
| 1649887548 | Jesse E Davis | Physician Assistant | 3512 Serene Way, Lynnwood, WA 98087-5202 | 2020-09-25 |
| 1558977066 | Kimberly Ho | Physician Assistant | 23004 88th Ave W, Edmonds, WA 98026-8616 | 2020-09-20 |
| 1770198954 | Ashish Chaudhary | Physician Assistant | 1215 Dexter Ave N Apt 704, Seattle, WA 98109-3567 | 2020-09-14 |
| 1144835422 | Juleeann Stocking | Physician Assistant | 1517 17th Ave S, Seattle, WA 98144-3522 | 2020-09-13 |
| 1558973909 | Margaret Webster | Physician Assistant | 6501 36th Ave Nw, Seattle, WA 98117-6010 | 2020-08-18 |
| 1033720495 | Riley Richardson | Physician Assistant | 1008 E Windemere Ct, Spokane, WA 99223-6228 | 2020-08-11 |
| 1720698814 | Jayven Sadae Heilman-moore | Physician Assistant | 2847 Riverbend Dr, Richland, WA 99354-2202 | 2020-08-04 |
| 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.