MATTHEW D BLOOM (NPI# 1952862393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952862393 |
| Entity Type | Individual |
| Full Name | MATTHEW D BLOOM |
| Practice Address |
1600 Sw Archer Rd Gainesville FL 32610-3003 |
| Mailing Address |
Po Box 100277 Gainesville FL 32610-0277 |
| Practice Telephone | 3522650239 |
| Mailing Telephone | 3522650239 |
| Enumeration Date | 2019-03-28 |
| Last Update Date | 2019-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255466843 | Matthew Ira Bloom | Dentist | 123 Waverly Pl, 1b, New York, NY 10011-9147 | 2007-02-22 |
| 1891212833 | Matthew F. Bloom | Counselor | Wilford Hall Ambulatory Surgical Center, 1100 Wilford Hall Loop, Bldg. 4554, 59 Mdw/gme, Jbsa Lackland, TX 78236-9908 | 2017-08-29 |
| 1801273305 | Matthew Lee Bloom | Physical Medicine & Rehabilitation | 2221 Wankel Way, Oxnard, CA 93030-0192 | 2015-05-04 |
| 1548503980 | Matthew Robert Bloom | Social Worker | 1010 Delafield Rd, Pittsburgh, PA 15215-1802 | 2013-04-04 |
| 1538492590 | Matthew Bloom | Counselor | 47 Palomba Dr, Enfield, CT 06082-3868 | 2009-09-09 |
| 1215053624 | Matthew N Bloom | Radiology | 209 Martin Luther King Jr Way, Tacoma, WA 98405-4265 | 2007-03-21 |
| 1477631844 | Matthew Brandon Bloom | Surgery | 2505 Samaritan Dr, #504, San Jose, CA 95124-4006 | 2006-11-01 |
| Street Address |
1600 SW ARCHER RD |
| City | GAINESVILLE |
| State | FL |
| Zip Code | 32610-3003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669475554 | Walter J Milton | Radiology | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2005-05-24 |
| 1104427251 | Morgan Elizabeth Gilbert | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-11-05 |
| 1598365306 | Kristin Renee Lapham | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-30 |
| 1225638174 | Leigha Fridley | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-29 |
| 1962000950 | Kelli O'shaughnessy | Physician Assistant | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-13 |
| 1053919985 | Amber Lynn Bart | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-13 |
| 1134726847 | Emily Elizabeth Farhat | Social Worker | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-06 |
| 1346847944 | Nicholas Scott Duarte | Physician Assistant | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-10-06 |
| 1922613231 | Trinh Nguyen | Pharmacist | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-09-14 |
| 1053926501 | Annalise Deboef | Nurse Practitioner | 1600 Sw Archer Rd, Gainesville, FL 32610-3003 | 2020-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003440660 | Thy Cam Huynh | Occupational Therapist | 1549 Gale Lemerand Dr, Gainesville, FL 32610 | 2020-02-23 |
| 1093359226 | Lauren Anne Ruddocks | Dentist | University of Florida College of Dentistry, 1395 Center Drive, Gainesville, FL 32610 | 2019-10-31 |
| 1104310549 | Brandon Lucke-wold | Neurological Surgery | 1149 S Newell Dr Deapartment of Neurosurgery Bldg #59, Gainesville, FL 32610 | 2018-06-19 |
| 1619465754 | Carlos Eduardo Vervloet Sollero | Student in an Organized Health Care Education/Training Program | 1149 Newell Drive, University of Florida, Department of Neurology, Gainesville, FL 32610 | 2018-04-24 |
| 1811359151 | Ramsha A. Kudia | Internal Medicine | 1549 Gale Lemerand Drive, 3rd Floor, Gainesville, FL 32610 | 2016-03-25 |
| 1447619937 | Wajdi Mohammed | Dentist | 1395 Center Dr., D8-6, Gainesville, FL 32610 | 2016-02-12 |
| 1922484344 | Kavan Ashit Gandhi | Dentist | 1395 Center Drive D7-19, Gainesville, FL 32610 | 2015-08-07 |
| 1972981512 | David Shin | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Road, Fl 1, Rm 1097, Gainesville, FL 32610 | 2015-05-15 |
| 1669887485 | Alejandro Jose Delgado | Dentist | 1395 Center Drive, University of Florida, College of Dentistry, Gainsville, FL 32610 | 2014-07-01 |
| 1194167296 | Zain Shahid | Student in an Organized Health Care Education/Training Program | 1600 Sw Archer Rd # Ng-45, Gainesville, FL 32610 | 2013-07-18 |
| Find all providers in zip 32610 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386269397 | Andrew James Herrington | Student in an Organized Health Care Education/Training Program | 2510 Ne 9th St Apt 501, Gainesville, FL 32609-6001 | 2020-06-15 |
| 1679197495 | Colette R Rackleff | Student in an Organized Health Care Education/Training Program | 4240 Nw 129th St, Gainesville, FL 32606-3549 | 2020-06-08 |
| 1821613605 | Andrew Barton | Student in an Organized Health Care Education/Training Program | 1240 Sw 11th Ave Apt B211, Gainesville, FL 32601-8265 | 2020-06-08 |
| 1861016982 | Kate Shannahan | Student in an Organized Health Care Education/Training Program | 4551 Nw 1st Ave, Gainesville, FL 32607-2223 | 2020-06-04 |
| 1790309011 | Michael Massari | Student in an Organized Health Care Education/Training Program | Uf Health 1600 Sw Archer Rd, Gainesville, FL 32610-0001 | 2020-06-02 |
| 1346863396 | Loveneet Kaur | Student in an Organized Health Care Education/Training Program | 7225 Winnipeg Ct, Gainesville, VA 20155-4877 | 2020-05-26 |
| 1326660176 | Lindsay Bouchard | Student in an Organized Health Care Education/Training Program | 6012 Sw 75th Ter Apt 308, Gainesville, FL 32608-5092 | 2020-05-15 |
| 1184245938 | Aaron Scarpa | Student in an Organized Health Care Education/Training Program | Shands Hospital 1600 Sw Archer Rd, Gainesville, FL 32610-0001 | 2020-05-04 |
| 1417578592 | Dylan Jude Ong | Student in an Organized Health Care Education/Training Program | 1329 Sw 16 Street 4th Floor, Gainesville, FL 32610-3424 | 2020-04-30 |
| 1134749591 | Vladislav Korenblit | Student in an Organized Health Care Education/Training Program | 1149 Newell Dr # L3-100, Gainesville, FL 32610-0236 | 2020-04-25 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 32610 |
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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.