Michael S Bloom (NPI# 1639128689, PAC ID# 2062483837) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1639128689 |
| PAC ID by PECOS | 2062483837 |
| Professional Enrollment ID | I20040804001160 |
| Full Name | Michael S Bloom |
| Organization Legal Name | WHITEWATER EYE CENTERS LLC |
| Address |
1900 Chester Blvd Richmond IN 47374-1213 |
| Phone Number | 7659622020 |
| Gender | M |
| Credential | MD |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1992 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 6608914072 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360051 | MIAMI VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 5965 E Broad St, Suite 480, Columbus, OH 43213-1562 | 6147514070 | COLUMBUS OPHTHALMOLOGY ASSOCIATES LLC |
| 1 Childrens Plz, Dayton, OH 45404-1873 | 9376413020 | BLOOM FAMILY EYE SURGEONS LTD |
| 5155 Bradenton Ave, Suite 200, Dublin, OH 43017-7560 | 6147662006 | COLUMBUS OPHTHALMOLOGY ASSOCIATES LLC |
| 1900 Chester Blvd, Richmond, IN 47374-1213 | 7659622020 | WHITEWATER EYE CENTERS LLC |
| Organization Legal Name | WHITEWATER EYE CENTERS LLC |
| Physicians | 10 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph L Moriarity | Optometry | Whitewater Eye Centers LLC | 1900 Chester Blvd, Richmond, IN 47374-1213 |
| Bryan C Hainline | Ophthalmology | Whitewater Eye Centers LLC | 2045 Virginia Ave, Connersville, IN 47331-2921 |
| Kevin T Scripture | Ophthalmology | Whitewater Eye Centers LLC | 6050 State Route 571 E, Greenville, OH 45331-9694 |
| Brianna D Keener | Optometry | Whitewater Eye Centers LLC | 2045 Virginia Ave, Connersville, IN 47331-2921 |
| Judy D Risch | Optometry | Whitewater Eye Centers LLC | 2045 Virginia Ave, Connersville, IN 47331-2921 |
| Timothy J Beatty | Optometry | Whitewater Eye Centers LLC | 2045 Virginia Ave, Connersville, IN 47331-2921 |
| Emilie J Jennings | Optometry | Whitewater Eye Centers LLC | 2045 Virginia Ave, Connersville, IN 47331-2921 |
| Elise L Beatty | Optometry | Whitewater Eye Centers LLC | 6050 State Route 571 E, Greenville, OH 45331-9694 |
| Jessica Lee Lambert | Optometry | Whitewater Eye Centers LLC | 1900 Chester Blvd, Richmond, IN 47374-1213 |
| Street Address |
1900 CHESTER BLVD |
| City | RICHMOND |
| State | IN |
| Zip | 47374-1213 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Joseph L Moriarity | Optometry | Whitewater Eye Centers LLC | 1900 Chester Blvd, Richmond, IN 47374-1213 |
| Theresa Ann Sowinski | Anesthesiology | 1900 Chester Blvd, Richmond, IN 47374-1213 | |
| Jessica Lee Lambert | Optometry | Whitewater Eye Centers LLC | 1900 Chester Blvd, Richmond, IN 47374-1213 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela J Hornak | Nurse Practitioner | Reid Physician Associates Inc | 2507 Chester Blvd, Spc B, Richmond, IN 47374-1105 |
| John Perez | Urology | Reid Physician Associates Inc | 2507 Chester Blvd B, Richmond, IN 47374-1105 |
| Noelle C Armstrong | Physician Assistant | Reid Physician Associates Inc | 2507 Chester Blvd, Spc B, Richmond, IN 47374-1105 |
| Jenna C Bailey | Physician Assistant | Reid Physician Associates Inc | 2507 Chester Blvd, Spc B, Richmond, IN 47374-1105 |
| Jennifer L Counceller | Nurse Practitioner | Reid Physician Associates Inc | 2507 Chester Blvd, Spc B, Richmond, IN 47374-1105 |
| Kimberly J Reffitt | Nurse Practitioner | Reid Physician Associates Inc | 2507 Chester Blvd, Spc B, Richmond, IN 47374-1105 |
| Nancy K England | Nurse Practitioner | Reid Physician Associates Inc | 2507 Chester Blvd, Spc B, Richmond, IN 47374-1105 |
| Lauren A Joos | Physician Assistant | Reid Physician Associates Inc | 2507 Chester Blvd B, Richmond, IN 47374-1105 |
| Yolanda J Dreier | Pediatric Medicine | Reid Physician Associates Inc | 2507 Chester Blvd B, Richmond, IN 47374-1105 |
| Loretta A Ryan | Pediatric Medicine | Reid Physician Associates Inc | 2507 Chester Blvd B, Richmond, IN 47374-1105 |
| Find all physicians in zip 47374 | |||
| City | RICHMOND |
| Zip Code | 47374 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | RICHMOND + OPHTHALMOLOGY |
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| 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.