DR. MICHAEL BLOOM (NPI# 1982606430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982606430 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL BLOOM |
| Credential | M.D. |
| Practice Address |
8995 Main St Clarence NY 14031-1927 |
| Practice Telephone | 7166348989 |
| Practice Fax Number | 7166347544 |
| Mailing Telephone | 7166348989 |
| Mailing Fax Number | 7166347544 |
| Enumeration Date | 2005-08-15 |
| Last Update Date | 2008-03-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 142447-1 | NY | Allopathic & Osteopathic Physicians |
| N | 207QA0000X |
Family Medicine Specialization: Adolescent Medicine |
142447-1 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427397413 | Michael Bloom | Physical Therapist | 2438 Bowers St Nw, Uniontown, OH 44685-6653 | 2013-02-11 |
| 1366527780 | Michael Aaron Bloom | Dentist | 9928 N Government Way, Hayden, ID 83835-9604 | 2006-10-25 |
| 1821197591 | Michael Gary Bloom | Neuromusculoskeletal Medicine, Sports Medicine | 15243 Van Owen St #403, Van Nuys, CA 91405 | 2006-09-21 |
| 1790703700 | Michael David Bloom | Dentist | 316 Wesley Ave, Ocean City, NJ 08226-4039 | 2006-07-17 |
| 1538149893 | Michael Steven Bloom | Dentist | 4154 Hicksville Rd, Bethpage, NY 11714-6216 | 2006-01-20 |
| 1477530392 | Michael V Bloom | Psychologist | 7920 Kirkland Ct, Portage, MI 49024-4974 | 2005-12-30 |
| 1336594456 | Michael Allen Bloom II | Speech-Language Pathologist | 4150 Clement St # 126, San Francisco, CA 94121-1545 | 2016-04-26 |
| 1861611543 | Michael Lloyd Bloom | Dentist | 875 Park Ave, Suite 1e, New York, NY 10021-0341 | 2007-04-24 |
| 1710094503 | Michael M Bloom | Optometrist | 2625 Piedmont Rd Ne, Suite 36g, Atlanta, GA 30324-3086 | 2006-08-25 |
| 1639128689 | Michael Scott Bloom | Ophthalmology | 1 Childrens Plz, Dayton, OH 45404-1898 | 2006-05-08 |
| Street Address |
8995 MAIN ST |
| City | CLARENCE |
| State | NY |
| Zip Code | 14031-1927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750577680 | Michael Bloom Md | Family Medicine | 8995 Main St, Clarence, NY 14031-1927 | 2007-09-25 |
| 1912958984 | Virginia J Zgoda | Physician Assistant | 8995 Main St, Clarence, NY 14031-1927 | 2006-05-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316556897 | Bridget E. Sweeney, Dds, Pllc | Clinic/Center | 6043 Transit Road, Suite 102, Clarence, NY 14031 | 2020-07-30 |
| 1821516451 | Kevin Matthew Scibetta | Physical Therapist | 9095 Main St Suite B, Clarence, NY 14031 | 2017-09-04 |
| 1649604091 | Doreen Marie Zak-watt | Social Worker | 10150 Greiner Rd., Clarence Middle School, Clarence, NY 14031 | 2013-08-21 |
| 1558676163 | Valerie Anne Heer | Massage Therapist | 5865 Strickler Rd., Clarence, NY 14031 | 2010-08-09 |
| 1881907665 | Kristi P. Smith | Social Worker | 8265 Sheridan Dr., Williamsville, NY 14031 | 2010-07-21 |
| 1649424979 | Kristen M Alexander | Dentist | 9650 Main Street, Kristen M. Alexander, Clarence, NY 14031 | 2008-11-13 |
| 1982850400 | Kaliopi Kelly Tsimidis Vukas | Dentist | 9600 Main Street, Suite 1, Clarence, NY 14031 | 2008-08-15 |
| 1871787259 | Andrew L Macdonald | Dentist | 9650 Main St, Clarence, NY 14031 | 2007-08-29 |
| 1174652994 | Carmine L Tiso | Dentist | 9530 Main St, Clarence, NY 14031 | 2007-03-05 |
| 1417974577 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 5033 Transit Road, Clarence, NY 14031 | 2006-07-16 |
| Find all providers in zip 14031 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336611581 | Hannibal Clinic Operations, L.L.C. | Family Medicine | 109 East St, Clarence, MO 63437-1902 | 2018-12-28 |
| 1598289316 | St Luke's Jones Regional Medical Center | Family Medicine | 411 1st Ave, Clarence, IA 52216-9744 | 2017-08-02 |
| 1942434824 | Ryan William Weber | Family Medicine | 9900 Main St, Clarence, NY 14031-2043 | 2009-05-07 |
| 1750577680 | Michael Bloom Md | Family Medicine | 8995 Main St, Clarence, NY 14031-1927 | 2007-09-25 |
| 1245256502 | Thomas Dougherty | Family Medicine | 9900 Main St, Clarence, NY 14031-2043 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295558 | Mamoon Malik | Family Medicine | 90 Menands Rd, Albany, NY 12204-1400 | 2020-11-08 |
| 1336749571 | Chowdhury Medical PC | Family Medicine | 155 Alkier St, Brentwood, NY 11717-5129 | 2020-10-27 |
| 1356940084 | Rebecca Jean Smouse | Family Medicine | 1107 Prendergast Ave, Jamestown, NY 14701-3315 | 2020-10-23 |
| 1336748136 | Rapha House Calls | Family Medicine | 2 Fernglade Ct, Chester, NY 10918-2637 | 2020-10-22 |
| 1174122980 | Richmond Health Partners Ipa LLC | Family Medicine | 1161 Victory Blvd, Staten Island, NY 10301-3621 | 2020-10-22 |
| 1730787128 | Michael C Secallus | Family Medicine | 66 Kirkwood Gdns, Kirkwood, NY 13795-1623 | 2020-10-16 |
| 1861099053 | Julia Gross Family Health Nurse Practitioner, Pllc | Family Medicine | 950 Route 146 Ste 100, Clifton Park, NY 12065-3667 | 2020-10-01 |
| 1013523190 | Steinway Hope Medical LLC | Family Medicine | 8829 54th Ave Fl 2, Elmhurst, NY 11373-4543 | 2020-09-23 |
| 1538774500 | Jenny Brandt | Family Medicine | 3048 Sunset Ln # 2, Schenectady, NY 12303-5528 | 2020-09-15 |
| 1992319016 | Sarah Glaser | Family Medicine | 30 W 24th St, New York, NY 10010-3207 | 2020-09-04 |
| 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.