Jill E Bloom (NPI# 1215114541, PAC ID# 0941384242) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1215114541 |
| PAC ID by PECOS | 0941384242 |
| Professional Enrollment ID | I20100121000104 |
| Full Name | Jill E Bloom |
| Organization Legal Name | CARILION HEALTHCARE CORPORATION |
| Address |
6415 Peters Creek Rd Roanoke VA 24019-4021 |
| Phone Number | 7035622110 |
| Gender | F |
| Medical School | HAHNEMANN UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 5890607253 |
| Number of Group Practice Members | 463 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 490042 | CARILION NEW RIVER VALLEY MEDICAL CENTER |
| 490110 | LEWISGALE HOSPITAL MONTGOMERY |
| 491302 | CARILION GILES COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 110 Akers Farm Rd, Christiansburg, VA 24073-4863 | 5403829405 | CARILION HEALTHCARE CORPORATION |
| 120 Akers Farm Rd, Christiansburg, VA 24073-4863 | 5403823440 | CARILION HEALTHCARE CORPORATION |
| 6415 Peters Creek Rd, Roanoke, VA 24019-4021 | 7035622110 | CARILION HEALTHCARE CORPORATION |
| Organization Legal Name | CARILION HEALTHCARE CORPORATION |
| Physicians | 464 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mandee May | Nurse Practitioner | Carilion Healthcare Corporation | 40 Lambert St, Suite 522, Staunton, VA 24401-2446 |
| Jennifer Lynn Simpson | Nurse Practitioner | Carilion Healthcare Corporation | 118 Broad St, Dublin, VA 24084-3211 |
| Antonio B Roman | Family Medicine | Carilion Healthcare Corporation | 1107 Brookdale St, Suite A, Martinsville, VA 24112-4501 |
| David Song Ko | Family Medicine | Carilion Healthcare Corporation | 100 Health Ctr Dr, Bridgewater, VA 22812-9511 |
| Alex Christopher Holliday | Dermatology | Carilion Healthcare Corporation | 35 Medical Ct, Hardy, VA 24101-3992 |
| Kathleen Sabina Dunbar | Family Medicine | Carilion Healthcare Corporation | 428 S Magnolia Ave, Carilion Family Medicine Associated Physicians, Waynesboro, VA 22980-3629 |
| Frances Benko | Family Medicine | Carilion Healthcare Corporation | 796 Old Franklin Tpke, Rocky Mount, VA 24151-5507 |
| Cory Lee Cummings | Family Medicine | Carilion Healthcare Corporation | 901 Plantation Rd, Suite 1, Blacksburg, VA 24060-3833 |
| Michael Shawn Donovan | Cardiovascular Disease (cardiology) | Carilion Healthcare Corporation | 1201 Elm St, Christianburg, VA 24073-1515 |
| Kate Rebekah Craighead | Nurse Practitioner | Carilion Healthcare Corporation | 1204 Franklin Rd Sw, Roanoke, VA 24016-4606 |
| Street Address |
6415 PETERS CREEK RD |
| City | ROANOKE |
| State | VA |
| Zip | 24019-4021 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William J Zimmer | Internal Medicine | Carilion Healthcare Corporation | 6415 Peters Creek Rd, Roanoke, VA 24019-4021 |
| Aneysa C Sane | Allergy/immunology | Carilion Healthcare Corporation | 6415 Peters Creek Rd, Roanoke, VA 24019-4021 |
| Mary B Horst | Nurse Practitioner | Carilion Healthcare Corporation | 6415 Peters Creek Rd, Roanoke, VA 24019-4021 |
| Todd Steven Palmerton | Family Medicine | Carilion Healthcare Corporation | 6415 Peters Creek Rd, Roanoke, VA 24019-4021 |
| Umar F Sofi | Pulmonary Disease | Carilion Healthcare Corporation | 6415 Peters Creek Rd, Roanoke, VA 24019-4021 |
| Ayesha Kelly | General Surgery | Carilion Healthcare Corporation | 6415 Peters Creek Rd, Roanoke, VA 24019-4021 |
| Carrie E Baker | Physician Assistant | Carilion Healthcare Corporation | 6415 Peters Creek Rd, Roanoke, VA 24019-4021 |
| Ashley Underwood | Nurse Practitioner | Carilion Healthcare Corporation | 6415 Peters Creek Rd, Roanoke, VA 24019-4021 |
| Brittany E Butler | Physician Assistant | Carilion Healthcare Corporation | 6415 Peters Creek Rd, Roanoke, VA 24019-4021 |
| Courtney Rogers | Nurse Practitioner | Carilion Healthcare Corporation | 6415 Peters Creek Rd, Roanoke, VA 24019-4021 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michie Armell Bolden | Nurse Practitioner | 3025 Peters Creek Rd Nw, Suite B, Roanoke, VA 24019-2760 | |
| Katherine Mccall | Occupational Therapy | Connections Achievement and Therapy Center Corp | 6746 Thirlane Rd, Roanoke, VA 24019-2908 |
| William M Austin | Chiropractic | 2900 Peters Creek Rd, Roanoke, VA 24019-3514 | |
| Brian S Slakman | Chiropractic | 2900 Peters Creek Rd, Roanoke, VA 24019-3514 | |
| Timothy R Byrnes | Ophthalmology | Vistar Eye Center Inc | 5296 Peters Creek Rd Nw, Roanoke, VA 24019-3808 |
| Vishak Johny John | Ophthalmology | Vistar Eye Center Inc | 5296 Peters Creek Rd Nw, Roanoke, VA 24019-3808 |
| Romulo Jc Albuquerque | Ophthalmology | Vistar Eye Center Inc | 5296 Peters Creek Rd Nw, Roanoke, VA 24019-3808 |
| Craig D Hartranft | Ophthalmology | Vistar Eye Center Inc | 5296 Peters Creek Rd Nw, Roanoke, VA 24019-3808 |
| Michael Lewis Mcclintock Jr. | Ophthalmology | Vistar Eye Center Inc | 5296 Peters Creek Rd Nw, Roanoke, VA 24019-3808 |
| John Hines | Ophthalmology | Vistar Eye Center Inc | 5296 Peters Creek Rd Nw, Roanoke, VA 24019-3808 |
| Find all physicians in zip 24019 | |||
| City | ROANOKE |
| Zip Code | 24019 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | ROANOKE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jill E Bloom.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.