ANDREW BLOOM (NPI# 1982019949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982019949 |
| Entity Type | Individual |
| Full Name | ANDREW BLOOM |
| Practice Address |
14700 E Old Us Highway 12 Chelsea MI 48118-1185 |
| Mailing Address |
1150 W Medical Center Dr 7300 Medical Science Building I, Spc 5625 Ann Arbor MI 48109-0600 |
| Practice Telephone | 7344754452 |
| Practice Fax Number | 7344758008 |
| Mailing Telephone | 7346152690 |
| Mailing Fax Number | 7346152687 |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2020-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 40832 | AL | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 35.136423 | OH | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 4301105968 | MI | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 619 19th St S, Birmingham, AL 352491185 | 2059344011 |
| 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 |
| 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 |
14700 E OLD US HIGHWAY 12 |
| City | CHELSEA |
| State | MI |
| Zip Code | 48118-1185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740403609 | Lauren Oshman | Family Medicine | 14700 E Old Us Highway 12, Chelsea, MI 48118-1185 | 2007-04-10 |
| 1033735642 | David Benavides | Student in an Organized Health Care Education/Training Program | 14700 E Old Us Highway 12, Chelsea, MI 48118-1185 | 2020-06-19 |
| 1790301430 | Kathleen Abenes | Student in an Organized Health Care Education/Training Program | 14700 E Old Us Highway 12, Chelsea, MI 48118-1185 | 2020-06-18 |
| 1952927766 | Sara Margosian | Student in an Organized Health Care Education/Training Program | 14700 E Old Us Highway 12, Chelsea, MI 48118-1185 | 2020-06-18 |
| 1518583301 | Caleb Abeku Arthur | Student in an Organized Health Care Education/Training Program | 14700 E Old Us Highway 12, Chelsea, MI 48118-1185 | 2020-06-17 |
| 1306462221 | Brianna Marzolf | Student in an Organized Health Care Education/Training Program | 14700 E Old Us Highway 12, Chelsea, MI 48118-1185 | 2020-06-17 |
| 1629694468 | Kayla Kathryn Sheehan | Student in an Organized Health Care Education/Training Program | 14700 E Old Us Highway 12, Chelsea, MI 48118-1185 | 2020-06-17 |
| 1477179398 | Olivia Menden Ritchie | Student in an Organized Health Care Education/Training Program | 14700 E Old Us Highway 12, Chelsea, MI 48118-1185 | 2020-06-17 |
| 1770144842 | Haden Sholl | Student in an Organized Health Care Education/Training Program | 14700 E Old Us Highway 12, Chelsea, MI 48118-1185 | 2019-06-27 |
| 1952962557 | Benjamin Douglas Beduhn | Student in an Organized Health Care Education/Training Program | 14700 E Old Us Highway 12, Chelsea, MI 48118-1185 | 2019-06-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689139354 | Timothy Edward Johnson | Behavioral Analyst | 1075 N Main Street, Chelsea, MI 48118 | 2019-02-06 |
| 1548731847 | Daniel Mcnerney | Behavior Technician | 107.5 N Main St, Chelsea Mi 48118, MI 48118 | 2018-12-12 |
| 1285177881 | Marla J Field | Counselor | 350 North Main Street, Thriving Minds Family Service, Chelsea, MI 48118 | 2016-11-30 |
| 1093115032 | Elizabeth Spotts | Social Worker | 350 N Main St Ste 220, Chelsea, MI 48118 | 2014-08-27 |
| 1336553239 | Kylene Willsey | Pediatrics | 13699 E Old Us Highway 12, Chelsea, MI 48118 | 2014-06-18 |
| 1730590985 | Vandan Shah | Dermatology | 14650 E. Old Us 12, Suite 308, Chelsea, MI 48118 | 2014-05-09 |
| 1447695952 | James Herbert Botsford | Family Medicine | 201 E. Cedar Lake Dr., Chelsea, MI 48118 | 2013-05-10 |
| 1972864403 | Caroline Nicole Wolfe Wurtzel | Orthopaedic Surgery | 14650 E Old Us Highway 12 Ste 104, Chelsea, MI 48118 | 2012-05-31 |
| 1396019766 | Markus Koch | Mechanotherapist | 21390 Waterloo Rd, Chlesea, MI 48118 | 2012-03-02 |
| 1023305810 | Denise Renae Rokke | Occupational Therapist | 801 W Middle St, Chelsea, MI 48118 | 2011-06-30 |
| Find all providers in zip 48118 | ||||
| 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 |
|---|---|---|---|---|
| 1568781664 | James Friere Skiba Jr. | Emergency Medicine | 775 S Main St, Chelsea, MI 48118-1383 | 2010-05-28 |
| 1376571240 | David Kaisler | Emergency Medicine | 775 S Main St, Chelsea, MI 48118-1370 | 2006-06-29 |
| 1508894544 | Merle A Hunter | Emergency Medicine | 775 S Main St, Chelsea, MI 48118-1370 | 2006-06-29 |
| 1922034867 | Jerald Lewis Reisman | Emergency Medicine | 151 Everett Ave, Urgent Care, Chelsea, MA 02150-1812 | 2006-06-23 |
| 1306888458 | Robert M Carruthers | Emergency Medicine | 775 S Main St, Chelsea, MI 48118-1370 | 2006-06-12 |
| 1912998360 | Herbert Fried Krohn | Emergency Medicine | 151 Everett Ave, Chc Chelsea Healthcare Center- Urgent Care, Chelsea, MA 02150-1812 | 2005-11-03 |
| 1336137363 | Kevin A Bravo | Emergency Medicine | 151 Everett Ave, Chelsea, MA 02150-1812 | 2005-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386265452 | Kyle Patrick Doran | Emergency Medicine | Sparrow Health System, 1215 E Michigan Avenue, Lansing, MI 48912 | 2020-04-30 |
| 1750901658 | Annika Van Wieren | Emergency Medicine | 22101 Moross Road, Emergency Department, Detroit, MI 48236 | 2020-04-21 |
| 1245850171 | Dema Fawaz | Emergency Medicine | Beaumont Hospital, Royal Oak, Gme Office, 3601 W. 13 Mile Rd, Royal Oak, MI 48073 | 2020-04-21 |
| 1568002004 | Munson Medical Center | Emergency Medicine | 5085 Anna Dr Ste B&c, Traverse City, MI 49684-7475 | 2020-01-13 |
| 1366002735 | Mansour Mansour | Emergency Medicine | 4965 Heather Dr Apt 107, Dearborn, MI 48126-2862 | 2019-06-18 |
| 1376101949 | David G Morrison IIi | Emergency Medicine | 1815 Dallas Ave, Royal Oak, MI 48067-3577 | 2019-05-30 |
| 1851852263 | Samantha Allegra Chamberlain | Emergency Medicine | 22101 Moross Rd., Emergency Department, Detroit, MI 48236-2148 | 2019-03-28 |
| 1467913756 | Andrew Michael Schock | Emergency Medicine | Ceci Murrell-harvey, Henry Ford Hospital, 2799 W. Grand. Blvd, Cfp 046, Detroit, MI 48202 | 2019-03-28 |
| 1598226029 | Alicia Paulette Flores | Emergency Medicine | Henry Ford Wyandotte Hosptial, Medical Education, 2333 Biddle Ave, Wyandotte, MI 48192 | 2019-03-27 |
| 1417417536 | Joseph Julius Vermeulen | Emergency Medicine | 2799 W Grand Blvd, Cfp 258, Detroit, MI 48202-2689 | 2019-03-24 |
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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.