Dennis Blom (NPI# 1376501940, PAC ID# 8628002516) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1376501940 |
| PAC ID by PECOS | 8628002516 |
| Professional Enrollment ID | I20090427000131 |
| Full Name | Dennis Blom |
| Organization Legal Name | COMMUNITY MEMORIAL HOSPITAL |
| Address |
164 Broad St Hamilton NY 13346-9575 |
| Phone Number | 3158244600 |
| Gender | M |
| Credential | MD |
| Medical School | ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY |
| Graduation Year | 1992 |
| Primary Specialty | GENERAL SURGERY |
| Group Practice PAC ID | 6103805163 |
| Number of Group Practice Members | 24 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 331316 | COMMUNITY MEMORIAL HOSPITAL, INC |
| 330285 | STRONG MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 164 Broad St, Hamilton, NY 13346-9575 | 3158244600 | COMMUNITY MEMORIAL HOSPITAL |
| 180 Sawgrass Dr, Rochester, NY 14620-4653 | 5852751984 | UNIVERSITY OF ROCHESTER SURGICAL ASSOCIATES |
| 601 Elmwood Ave, Rochester, NY 14642-8410 | 5852751984 | UNIVERSITY OF ROCHESTER SURGICAL ASSOCIATES |
| Organization Legal Name | COMMUNITY MEMORIAL HOSPITAL |
| Physicians | 53 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| April M Lamunion | Nurse Practitioner | Community Memorial Hospital | 150 Broad St, Hamilton, NY 13346-9575 |
| Christina Valencia | Nurse Practitioner | Community Memorial Hospital | 3460 S St, Morrisville, NY 13408-9671 |
| Megan E Ashbacher | Nurse Practitioner | Community Memorial Hospital | 422 W River St, Antwerp Family Health, Antwerp, OH 45813-8417 |
| Michael Kooistra Jr. | Family Medicine | Community Memorial Hospital | 104 S W St, Edgerton, OH 43517-9697 |
| Rowland J Rivero | Hospitalist | Community Memorial Hospital | 208 N Columbus, Hicksville, OH 43526-1250 |
| Bryan D Kaplansky | Physical Medicine and Rehabilitation | Community Memorial Hospital | 3888 New Vision Dr, Fort Wayne, IN 46845-1708 |
| Scott A Waters | Family Medicine | Community Memorial Hospital | 18218 State Rd, Suite 37, Harlan, IN 46743-9609 |
| Shelby Sharp | Nurse Practitioner | Community Memorial Hospital | 117 W Main St, Waterville, NY 13480-1165 |
| Jessica L Slattery | Nurse Practitioner | Community Memorial Hospital | 208 N Columbus, Hicksville, OH 43526-1250 |
| Todd M Wiley | Family Medicine | Community Memorial Hospital | 208 N Columbus, Hicksville, OH 43526-1250 |
| Street Address |
164 BROAD ST |
| City | HAMILTON |
| State | NY |
| Zip | 13346-9575 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy M Dennis | Nurse Practitioner | Community Memorial Hospital | 164 Broad St, Hamilton, NY 13346-9575 |
| Paula M Welsh | Nurse Practitioner | Community Memorial Hospital | 164 Broad St, Hamilton, NY 13346-9575 |
| Christina E Riggall | Nurse Practitioner | Community Memorial Hospital | 164 Broad St, Hamilton, NY 13346-9575 |
| William Tuong | Urology | Community Memorial Hospital | 164 Broad St, Hamilton, NY 13346-9575 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James I Wallace | Psychologist, Clinical | 40 Milford St, Hamilton, NY 13346-1009 | |
| Dawn E Lafrance | Psychologist, Clinical | 40 Milford St, Hamilton, NY 13346-1009 | |
| Marjorie H Cohen | Qualified Audiologist | 54 B Utica St, Hamilton, NY 13346-1108 | |
| Richard S Cohen | Family Practice | 52 Utica St, Hamilton, NY 13346-1108 | |
| Charles P Stefan | Physician Assistant | College St Orthopedics | 85 College St, Hamilton, NY 13346-1227 |
| Brian J Berry | Physician Assistant | College St Orthopedics | 85 College St, Hamilton, NY 13346-1227 |
| Rudolph A Buckley | Orthopedic Surgery | College St Orthopedics | 85 College St, Hamilton, NY 13346-1227 |
| Kristin W Collins | Physician Assistant | College St Orthopedics | 85 College St, Hamilton, NY 13346-1227 |
| Russell M Lafrance | Orthopedic Surgery | College St Orthopedics | 85 College St, Hamilton, NY 13346-1227 |
| Melissa Cullinan | Physician Assistant | College St Orthopedics | 85 College St, Hamilton, NY 13346-1227 |
| Find all physicians in zip 13346 | |||
| City | HAMILTON |
| Zip Code | 13346 |
| Specialty | GENERAL SURGERY |
| City + Specialty | HAMILTON + GENERAL SURGERY |
Please comment or provide details below to improve the information on Dennis Blom.
| 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.