Thomas D Bloom (NPI# 1356397772, PAC ID# 6406950419) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1356397772 |
| PAC ID by PECOS | 6406950419 |
| Professional Enrollment ID | I20070410000566 |
| Full Name | Thomas D Bloom |
| Organization Legal Name | MADISON MEDICAL AFFILIATES INC |
| Address |
5150 N Port Washington Rd Suite 251 Milwaukee WI 53217-5477 |
| Phone Number | 4143320606 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1983 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 5991606337 |
| Number of Group Practice Members | 82 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 520027 | COLUMBIA ST MARYS HOSPITAL OZAUKEE |
| Address | Phone | Organization |
|---|---|---|
| 5150 N Port Washington Rd, Suite 251, Milwaukee, WI 53217-5477 | 4143320606 | MADISON MEDICAL AFFILIATES INC |
| Organization Legal Name | MADISON MEDICAL AFFILIATES INC |
| Physicians | 56 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Angela K Kraus | Nurse Practitioner | Madison Medical Affiliates Inc | 2350 N Lake Dr, Suite 302, Milwaukee, WI 53211-4528 |
| Camile L Hexsel Folk | Dermatology | Madison Medical Affiliates Inc | 22370 W Bluemound Rd, Suite 200, Waukesha, WI 53186-1683 |
| Unchu Ko | Internal Medicine | Madison Medical Affiliates Inc | 788 N Jefferson St, Suite 300, Milwaukee, WI 53202-3710 |
| Martha F Jay | Ophthalmology | Madison Medical Affiliates Inc | 10320 N Port Washington Rd, Mequon, WI 53092-5767 |
| Deidre L Faust | Internal Medicine | Madison Medical Affiliates Inc | 13133 N Port Washington Rd, Suite G 18, Mequon, WI 53097-2420 |
| Kirby K Hancock | Physician Assistant | Madison Medical Affiliates Inc | 788 N Jefferson St, Suite 401, Milwaukee, WI 53202-3718 |
| Abraham Varghese | Internal Medicine | Madison Medical Affiliates Inc | 788 N Jefferson St, Suite 401, Milwaukee, WI 53202-3718 |
| Scott A Jorgensen | Internal Medicine | Madison Medical Affiliates Inc | 13133 N Port Washington Rd, Suite G 18, Mequon, WI 53097-2420 |
| Kathleen Baugrud | Internal Medicine | Madison Medical Affiliates Inc | 788 N Jefferson St, Suite 300, Milwaukee, WI 53202-3710 |
| Valerie B Lyon | Dermatology | Madison Medical Affiliates Inc | 375 W River Woods Pkwy, Suite 116, Glendale, WI 53212-1080 |
| Street Address |
5150 N PORT WASHINGTON RD SUITE 251 |
| City | MILWAUKEE |
| State | WI |
| Zip | 53217-5477 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Fred M Shafrin | Ophthalmology | Madison Medical Affiliates Inc | 5150 N Port Washington Rd, Suite 251, Milwaukee, WI 53217-5477 |
| Kenneth S Fabric | Ophthalmology | Madison Medical Affiliates Inc | 5150 N Port Washington Rd, Suite 251, Milwaukee, WI 53217-5477 |
| Paul David Mandel | Ophthalmology | Paul D Mandel Md Sc | 5150 N Port Washington Rd, Glendale, WI 53217-5400 |
| Joseph J Goodman | General Surgery | Wheaton Franciscan Medical Group | 5150 N Port Washington Rd, Suite 151, Milwaukee, WI 53217-5400 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deborah Jordan | Physical Therapy | 727 W Laramie Ln, Bayside, WI 53217-1227 | |
| Gary Donaldson | Chiropractic | 9200 N Tennyson Dr, Bayside, WI 53217-1464 | |
| Erin J Woody | Physical Therapy | Sport Clinic Physical Therapy Inc | 8911 N Port Washington Rd, Bayside, WI 53217-1634 |
| Christine Mary Wiedmeyer | Qualified Audiologist | Seniorwell of Wisconsin LLC | 7800 N Green Bay Rd, Glendale, WI 53217-2047 |
| Jessica L Herrmann | Physical Therapy | Integra Physical Therapy,sc | 8677 N Port Washington Rd, Fox Point, WI 53217-2209 |
| Hussam A Saras | Optometry | Myeyedr Optometry of Wisconsin LLC | 8693 N Port Washington Rd, Fox Point, WI 53217-2209 |
| Stephanie Smith | Physical Therapy | Integra Physical Therapy,sc | 8677 N Port Washington Rd, Fox Point, WI 53217-2209 |
| Erik K Bork | Physical Therapy | Integra Physical Therapy,sc | 8677 N Port Washington Rd, Fox Point, WI 53217-2209 |
| Jeremiah A Weber | Physical Therapy | Integra Physical Therapy,sc | 8677 N Port Washington Rd, Fox Point, WI 53217-2209 |
| Jamie L Hofschulte | Physical Therapy | Integra Physical Therapy,sc | 8677 N Port Washington Rd, Fox Point, WI 53217-2209 |
| Find all physicians in zip 53217 | |||
| City | MILWAUKEE |
| Zip Code | 53217 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | MILWAUKEE + 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.