Jared W Bloom (NPI# 1063799799, PAC ID# 5698034726) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1063799799 |
| PAC ID by PECOS | 5698034726 |
| Professional Enrollment ID | I20180118001943 |
| Full Name | Jared W Bloom |
| Organization Legal Name | CAMERON COMMUNITY HEALTH CENTER INC |
| Address |
19 Rr Suite 4 Cameron WV 26033-9520 |
| Phone Number | 3046863376 |
| Gender | M |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 6709050321 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 19 Rr, Suite 4, Cameron, WV 26033-9520 | 3046863376 | CAMERON COMMUNITY HEALTH CENTER INC |
| Organization Legal Name | CAMERON COMMUNITY HEALTH CENTER INC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katrina S Wasmuth | Nurse Practitioner | Cameron Community Health Center Inc | 19 Rr, Suite 4, Cameron, WV 26033-9520 |
| Lucas Morgan | Physical Therapy | Cameron Community Health Center Inc | 19 Rr, Cameron, WV 26033-9520 |
| Street Address |
19 RR SUITE 4 |
| City | CAMERON |
| State | WV |
| Zip | 26033-9520 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katrina S Wasmuth | Nurse Practitioner | Cameron Community Health Center Inc | 19 Rr, Suite 4, Cameron, WV 26033-9520 |
| Lucas Morgan | Physical Therapy | Cameron Community Health Center Inc | 19 Rr, Cameron, WV 26033-9520 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Julie Carol Furrow | Nurse Practitioner | Lifetree Medical Services LLC | Rr 4 Box, Suite 20, Cameron, WV 26033-9520 |
| Kelly H Barki | Internal Medicine | Rd 4 Box 19 Wilson Dr, Cameron, WV 26033-9520 |
| City | CAMERON |
| Zip Code | 26033 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | CAMERON + PHYSICAL THERAPY |
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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.