Larry Jay Bloom (NPI# 1407878051, PAC ID# 4688866791) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1407878051 |
| PAC ID by PECOS | 4688866791 |
| Professional Enrollment ID | I20191119000519 |
| Full Name | Larry Jay Bloom |
| Organization Legal Name | SOUTH DENVER CARDIOLOGY ASSOC |
| Address |
1000 Southpark Dr Littleton CO 80120-5654 |
| Phone Number | 3037152245 |
| Gender | M |
| Graduation Year | 1975 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 9931098456 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1000 Southpark Dr, Littleton, CO 80120-5654 | 3037152245 | SOUTH DENVER CARDIOLOGY ASSOC |
| Organization Legal Name | SOUTH DENVER CARDIOLOGY ASSOC |
| Physicians | 1 |
| Street Address |
1000 SOUTHPARK DR |
| City | LITTLETON |
| State | CO |
| Zip | 80120-5654 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kristi W Swim | Nurse Practitioner | Portercare Adventist Health System | 1000 Southpark Dr, Littleton, CO 80120-5654 |
| Christine A Harms | Nurse Practitioner | Portercare Adventist Health System | 1000 Southpark Dr, Littleton, CO 80120-5654 |
| Susan D Weitkunat | Registered Dietitian Or Nutrition Professional | Portercare Adventist Health System | 1000 Southpark Dr, Littleton, CO 80120-5654 |
| Pawel Doloto | Cardiovascular Disease (cardiology) | Portercare Adventist Health System | 1000 Southpark Dr, Littleton, CO 80120-5654 |
| Roger S Damle | Cardiac Electrophysiology | Portercare Adventist Health System | 1000 Southpark Dr, Littleton, CO 80120-5654 |
| Joseph B Burchenal | Interventional Cardiology | Portercare Adventist Health System | 1000 Southpark Dr, Littleton, CO 80120-5654 |
| Michael E Staab | Cardiovascular Disease (cardiology) | Portercare Adventist Health System | 1000 Southpark Dr, Littleton, CO 80120-5654 |
| William Chongwon Choe | Cardiac Electrophysiology | Portercare Adventist Health System | 1000 Southpark Dr, Littleton, CO 80120-5654 |
| Amy Marion Wischmeyer | Nurse Practitioner | Portercare Adventist Health System | 1000 Southpark Dr, Littleton, CO 80120-5654 |
| Stephanie Kay Kaskavitch | Nurse Practitioner | Portercare Adventist Health System | 1000 Southpark Dr, Littleton, CO 80120-5654 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melissa Joy Meli Reumann | Clinical Social Worker | Arapahoe Mental Health Center Inc | 61 W Davies, Littleton, CO 80120 |
| Robert A Arne | Chiropractic | 1480 W Canal Court, Littleton, CO 80120 | |
| Jeannie E Walter | Clinical Social Worker | Arapahoe Mental Health Center Inc | 61 W Davies, Littleton, CO 80120 |
| Armando S Reyes | Nurse Practitioner | Arapahoe Mental Health Center Inc | 61 W Davies, Littleton, CO 80120 |
| Vincent A Scudella | Clinical Social Worker | Arapahoe Mental Health Center Inc | 61 W Davies, Littleton, CO 80120 |
| Brent C Hall | Clinical Social Worker | Arapahoe Mental Health Center Inc | 61 W Davies, Littleton, CO 80120 |
| Resul Kaan Ozbayrak | Psychiatry | Arapahoe Mental Health Center Inc | 61 W Davies, Littleton, CO 80120 |
| Larry K Mortazavi | Psychiatry | Arapahoe Mental Health Center Inc | 61 W Davies, Littleton, CO 80120 |
| Natalie M Hogan | Psychiatry | Arapahoe Mental Health Center Inc | 61 W Davies, Littleton, CO 80120 |
| Mackenzie Ruth Flaharty | Clinical Social Worker | Arapahoe Mental Health Center Inc | 5554 S Prince St, Littleton, CO 80120-1101 |
| Find all physicians in zip 80120 | |||
| City | LITTLETON |
| Zip Code | 80120 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | LITTLETON + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Larry Jay 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.