Nathan M Bloom (NPI# 1164629218, PAC ID# 3476678376) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1164629218 |
| PAC ID by PECOS | 3476678376 |
| Professional Enrollment ID | I20100915001103 |
| Full Name | Nathan M Bloom |
| Organization Legal Name | FAMILY MEDICINE ASSOCIATES, P.A. |
| Address |
4921 W 18th St Lawrence KS 66047-2090 |
| Phone Number | 7858300100 |
| Gender | M |
| Medical School | MEDICAL COLLEGE OF WISCONSIN |
| Graduation Year | 2007 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0446158828 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170137 | LAWRENCE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4921 W 18th St, Lawrence, KS 66047-2090 | 7858300100 | FAMILY MEDICINE ASSOCIATES, P.A. |
| Organization Legal Name | FAMILY MEDICINE ASSOCIATES, P.A. |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara K Holmes | Physician Assistant | Family Medicine Associates, P.a. | 4921 W 18th St, Lawrence, KS 66047-2090 |
| Brianne Cook | Physician Assistant | Family Medicine Associates, P.a. | 4921 W 18th St, Lawrence, KS 66047-2090 |
| Stacey Anderson | Physician Assistant | Family Medicine Associates, P.a. | 4921 W 18th St, Lawrence, KS 66047-2090 |
| Heather D Bridgens | Physician Assistant | Family Medicine Associates, P.a. | 4921 W 18th St, Lawrence, KS 66047-2090 |
| Dan G Severa | Family Medicine | Family Medicine Associates, P.a. | 4921 W 18th St, Lawrence, KS 66047-2090 |
| Loree J Cordova | Family Medicine | Family Medicine Associates, P.a. | 4921 W 18th St, Lawrence, KS 66047-2090 |
| Jean M Schrader | Family Medicine | Family Medicine Associates, P.a. | 4921 W 18th St, Lawrence, KS 66047-2090 |
| Michelle B Lackamp | Physician Assistant | Family Medicine Associates, P.a. | 4921 W 18th St, Lawrence, KS 66047-2090 |
| Anna C Ruelberg | Physician Assistant | Family Medicine Associates, P.a. | 4921 W 18th St, Lawrence, KS 66047-2090 |
| Shannon Kopp | Physician Assistant | Family Medicine Associates, P.a. | 4921 W 18th St, Lawrence, KS 66047-2090 |
| Street Address |
4921 W 18TH ST |
| City | LAWRENCE |
| State | KS |
| Zip | 66047-2090 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sara K Holmes | Physician Assistant | Family Medicine Associates, P.a. | 4921 W 18th St, Lawrence, KS 66047-2090 |
| Brianne Cook | Physician Assistant | Family Medicine Associates, P.a. | 4921 W 18th St, Lawrence, KS 66047-2090 |
| Stacey Anderson | Physician Assistant | Family Medicine Associates, P.a. | 4921 W 18th St, Lawrence, KS 66047-2090 |
| Heather D Bridgens | Physician Assistant | Family Medicine Associates, P.a. | 4921 W 18th St, Lawrence, KS 66047-2090 |
| Dan G Severa | Family Medicine | Family Medicine Associates, P.a. | 4921 W 18th St, Lawrence, KS 66047-2090 |
| Loree J Cordova | Family Medicine | Family Medicine Associates, P.a. | 4921 W 18th St, Lawrence, KS 66047-2090 |
| Jean M Schrader | Family Medicine | Family Medicine Associates, P.a. | 4921 W 18th St, Lawrence, KS 66047-2090 |
| Michelle B Lackamp | Physician Assistant | Family Medicine Associates, P.a. | 4921 W 18th St, Lawrence, KS 66047-2090 |
| Anna C Ruelberg | Physician Assistant | Family Medicine Associates, P.a. | 4921 W 18th St, Lawrence, KS 66047-2090 |
| Shannon Kopp | Physician Assistant | Family Medicine Associates, P.a. | 4921 W 18th St, Lawrence, KS 66047-2090 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher L Wertin | Chiropractic | Advanced Chiropractic Services Pa | 1605 Wakarusa Dr, Lawrence, KS 66047-1805 |
| Jessica Ellen Speidel | Chiropractic | Advanced Chiropractic Services Pa | 1605 Wakarusa Dr, Lawrence, KS 66047-1805 |
| Kyle J Wertin | Chiropractic | Advanced Chiropractic Services Pa | 1605 Wakarusa Dr, Lawrence, KS 66047-1805 |
| Eric Ryan Wertin | Chiropractic | Advanced Chiropractic Services Pa | 1605 Wakarusa Dr, Lawrence, KS 66047-1805 |
| Mary A Huss | Chiropractic | Advanced Chiropractic Services Pa | 1605 Wakarusa Dr, Lawrence, KS 66047-1805 |
| Colleen G Auchenbach | Chiropractic | Advanced Chiropractic Services Pa | 1605 Wakarusa Dr, Lawrence, KS 66047-1805 |
| Sherry E Clayton | Clinical Social Worker | Life Connections, Inc. | 1501 Inverness Dr, Lawrence, KS 66047-1870 |
| Taylor L Porter | Psychiatry | 1811 Wakarusa Dr, Suite 102, Lawrence, KS 66047-2082 | |
| Chad D Johanning | Family Medicine | Lawrence Family Practice Center Pa | 4951 W 18th St, Lawrence, KS 66047-2090 |
| Amanda C Miller | Family Medicine | Lawrence Family Practice Center Pa | 4951 W 18th St, Lawrence, KS 66047-2090 |
| Find all physicians in zip 66047 | |||
| City | LAWRENCE |
| Zip Code | 66047 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LAWRENCE + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Nathan M 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.