Kyle Lynn Blomberg (NPI# 1689143802, PAC ID# 1850639139) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1689143802 |
| PAC ID by PECOS | 1850639139 |
| Professional Enrollment ID | I20190212001273 |
| Full Name | Kyle Lynn Blomberg |
| Organization Legal Name | NORTHEAST MEDICAL GROUP INC |
| Address |
500 E Main St Branford CT 06405-2912 |
| Phone Number | 2034815665 |
| Gender | F |
| Graduation Year | 2018 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 1254233836 |
| Number of Group Practice Members | 1014 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 070022 | YALE-NEW HAVEN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 500 E Main St, Branford, CT 06405-2912 | 2034815665 | NORTHEAST MEDICAL GROUP INC |
| Organization Legal Name | NORTHEAST MEDICAL GROUP INC |
| Physicians | 1113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Daniel J Razzano | Internal Medicine | Northeast Medical Group Inc | 1 Long Wharf Dr, New Haven, CT 06511-5991 |
| Irene Besser | Certified Nurse Midwife (cnm) | Northeast Medical Group Inc | 3 Shaws Cv, New London, CT 06320-4952 |
| Ang Zhang | Internal Medicine | Northeast Medical Group Inc | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 |
| Carolyn Brown | Nurse Practitioner | Northeast Medical Group Inc | 112 Quarry Rd, Suite 400, Trumbull, CT 06611-4877 |
| Nicole Parry | Nurse Practitioner | Northeast Medical Group Inc | 999 Silver Lane, Trumbull, CT 06611-5343 |
| Amanda L Hall | Nurse Practitioner | Northeast Medical Group Inc | 1308 Chapel St, New Haven, CT 06511-4515 |
| Murielle Exantus | Nurse Practitioner | Northeast Medical Group Inc | 422 Highland Ave, Cheshire, CT 06410-2526 |
| Brittany L Provenzano | Nurse Practitioner | Northeast Medical Group Inc | 887 Bridgeport Ave, Shelton, CT 06484-7602 |
| Pradnya Velankar | Cardiovascular Disease (cardiology) | Northeast Medical Group Inc | 230 Waterford Pkwy S, Waterford, CT 06385-1219 |
| Kitima Boonvisudhi | General Surgery | Northeast Medical Group Inc | 40 Boston Post Rd, Waterford, CT 06385-2424 |
| Street Address |
500 E MAIN ST |
| City | BRANFORD |
| State | CT |
| Zip | 06405-2912 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Faith Levin-irwin | Physical Therapy | Physical Therapy Services of Guilford LLC | 500 E Main St, Suite 310, Branford, CT 06405-2937 |
| Jana N Shaffer | Physician Assistant | Downtown Dermatology LLC | 500 E Main St, Suite 310, Columbus, OH 43215-5470 |
| Julie A Perlanski | General Practice | St Elizabeth Medical Center | 500 E Main St, Little Falls, NY 13365-1444 |
| Rachel Creevy D'errico | Nurse Practitioner | Northeast Medical Group Inc | 500 E Main St, Branford, CT 06405-2912 |
| Janet M Smith | Physical Therapy | Physical Therapy Services of Guilford LLC | 500 E Main St, Suite 310, Branford, CT 06405-2937 |
| Amanda D Maynard | Internal Medicine | Ohiohealth Corporation | 500 E Main St, Suite 100, Columbus, OH 43215-5369 |
| Roza Karabanov | Nurse Practitioner | St Elizabeth Medical Center | 500 E Main St, Little Falls, NY 13365-1444 |
| Shari Hicks-graham | Dermatology | Downtown Dermatology LLC | 500 E Main St, Suite 310, Columbus, OH 43215-5470 |
| George W Barnett Jr. | Family Medicine | Ohiohealth Corporation | 500 E Main St, Suite 100, Columbus, OH 43215-5369 |
| Justine Gillen | Physical Therapy | Physical Therapy Services of Guilford LLC | 500 E Main St, Suite 310, Branford, CT 06405-2937 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Patricia A Youngquist | Optometry | 120 Commercial Pkwy, Branford, CT 06405-2537 | |
| Sushil Gupta | Pulmonary Disease | Pulmonary Care, PC | 14 Business Park Dr, Branford, CT 06405-2909 |
| Gloria J Greenidge | Clinical Social Worker | 388 E Main St, Suite 3, Branford, CT 06405-2914 | |
| Jamelah T Stone | Clinical Social Worker | 500 E Main St, Suite 322, Branford, CT 06405-2929 | |
| Phyllis L Quinn | Physical Therapy | Physical Therapy Services of Guilford LLC | 500 E Main St, Suite 310, Branford, CT 06405-2937 |
| Belinda J Chan | Internal Medicine | Northeast Medical Group Inc | 420 E Main St, Branford, CT 06405-2940 |
| Lee Jung | Internal Medicine | Northeast Medical Group Inc | 420 E Main St, Branford, CT 06405-2940 |
| Raymond J Ippolito | General Surgery | 420 E Main St, Building 2 Unit 5, Branford, CT 06405-2940 | |
| Ryan Dillon | Nurse Practitioner | 420 E Main St, Suite 5, Branford, CT 06405-2941 | |
| Deborah D Desir | Rheumatology | Arthritis and Osteoporosis Center PC | 420 E Main St, Suite 13, Branford, CT 06405-2942 |
| Find all physicians in zip 06405 | |||
| City | BRANFORD |
| Zip Code | 06405 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | BRANFORD + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Kyle Lynn Blomberg.
| 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.