DR. PATRICK LEROY BLOHM (NPI# 1013087287) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013087287 |
| Entity Type | Individual |
| Full Name | DR. PATRICK LEROY BLOHM |
| Credential | M.D. |
| Practice Address |
5354 Reynolds St Suite 510 Savannah GA 31405-6007 |
| Practice Telephone | 9123528588 |
| Practice Fax Number | 9123528893 |
| Mailing Telephone | 9123528588 |
| Mailing Fax Number | 9123528893 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VE0102X |
Obstetrics & Gynecology Specialization: Reproductive Endocrinology |
048485 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
5354 REYNOLDS ST SUITE 510 |
| City | SAVANNAH |
| State | GA |
| Zip Code | 31405-6007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891787636 | Cynthia R Ware | Internal Medicine | 5354 Reynolds St, Suite 424, Savannah, GA 31405-6007 | 2005-08-18 |
| 1437778537 | Francis John Ricchiuto | Nurse Practitioner | 5354 Reynolds St, Savannah, GA 31405-6007 | 2020-04-09 |
| 1942833769 | Felicia Scott | Nurse Practitioner | 5354 Reynolds St, Suite 424, Savannah, GA 31405 | 2020-02-20 |
| 1952931388 | Candace Jaquay Walton | Nurse Practitioner | 5354 Reynolds St, Suite 424, Savannah, GA 31405 | 2020-01-24 |
| 1730627910 | Yolanda Jones | Nurse Practitioner | 5354 Reynolds St, Suite 424, Savannah, GA 31405-6007 | 2017-02-07 |
| 1831542489 | Abid Ali Shaikh | Internal Medicine | 5354 Reynolds St, Ste 424, Savannah, GA 31405-6011 | 2016-07-19 |
| 1972901395 | Southeast Lung & Critical Care Specialists, PC | Internal Medicine | 5354 Reynolds St, Suite #318, Savannah, GA 31405-6007 | 2014-12-17 |
| 1376956144 | Irina Goldenberg | Family Medicine | 5354 Reynolds St, Ste 424, Savannah, GA 31405-6007 | 2014-06-09 |
| 1669891545 | Dianne Nicole Thompson | Internal Medicine | 5354 Reynolds St, Savannah, GA 31405-6007 | 2014-04-08 |
| 1144659087 | Jennifer Tolliver | Internal Medicine | 5354 Reynolds St, Ste 424, Savannah, GA 31405 | 2013-11-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053918441 | Nicole Marie Tetro | Anesthesiology | Candler Hospital, 5353 Reynolds St, Savannah, GA 31405 | 2020-10-08 |
| 1154983880 | Nickes Medical Supply, LLC. | Durable Medical Equipment & Medical Supplies | 6020 Halsey St, Savannah, GA 31405 | 2019-07-02 |
| 1215593025 | Lee Ann Ryle | Nurse Practitioner | 5223 Paulsen St., Savannah, GA 31405 | 2019-05-16 |
| 1942765334 | Raegan Epps | Behavior Technician | 613 Stephenson Ave Ste 205, Savannah, GA 31405 | 2019-02-10 |
| 1679050454 | Phenomenal Nursing Service | Registered Nurse | 604 South St., 604 South St, Savannah, GA 31405 | 2018-07-24 |
| 1275029472 | Chelsea Amanda Keedy | Pharmacist | 836 E. 65th St., Medical Arts #4, Savannah, GA 31405 | 2018-07-11 |
| 1265933840 | Dwc-p LLC | Dentist | 5209 Paulsen Street, Savannah, GA 31405 | 2018-02-28 |
| 1386153005 | Aaron Shaw | Hearing Instrument Specialist | 5501 Abercorn St Ste E, Savannah, GA 31405 | 2017-09-26 |
| 1063946028 | Elizabeth Bentley Bruhn-danello | Dietitian, Registered | 836 East 65th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-17 |
| 1396278230 | Theresa Lynn George | Health Educator | 836 East 65 Th Street, Medical Arts #4, Savannah, GA 31405 | 2017-04-07 |
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| Taxonomy Code | 207VE0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Reproductive Endocrinology |
| An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659881290 | Coastal Fertility Center | Obstetrics & Gynecology | 9100 White Bluff Rd Ste 201, Savannah, GA 31406-4600 | 2017-10-10 |
| 1528167590 | Glenn P. Palmisano | Obstetrics & Gynecology | 4 Sundew Rd, Savannah, GA 31411-2955 | 2006-09-22 |
| 1720109606 | Anne Brawner Namnoum | Obstetrics & Gynecology | 5354 Reynolds St, Suite 510, Savannah, GA 31405-6007 | 2007-04-02 |
| 1780751602 | Mppg, Inc. | Obstetrics & Gynecology | 4750 Waters Ave, Suite 307, Savannah, GA 31404-6200 | 2006-11-29 |
| 1700956984 | Georgia Center for Reproductive Medicine | Obstetrics & Gynecology | 5354 Reynolds St, Suite 510, Savannah, GA 31405-6007 | 2006-11-08 |
| 1790889095 | Lawrence Dudley Odom | Obstetrics & Gynecology | 5354 Reynolds St, Ste 333, Savannah, GA 31405 | 2006-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538645908 | Reproductive Health Medicine & Gynecology | Obstetrics & Gynecology | 3965 Holcomb Bridge Rd Ste 100, Norcross, GA 30092-2203 | 2018-07-18 |
| 1861734378 | John Graham Theisen | Obstetrics & Gynecology | 810 Chafee Avenue, Augusta, GA 30904 | 2013-03-22 |
| 1639469471 | David Austin Schirmer IIi | Obstetrics & Gynecology | 550 Peachtree St Ne Bldg Ste 1800, Atlanta, GA 30308-2247 | 2011-04-13 |
| 1194988949 | Obehi Alexandria Asemota | Obstetrics & Gynecology | 3005 Royal Blvd S Ste 220, Alpharetta, GA 30022-1408 | 2008-07-02 |
| 1760668396 | Jessica Bronwyn Spencer | Obstetrics & Gynecology | 550 Peachtree Rd., Crawford Long Medical Office Tower, Ste 1800, Atlanta, GA 30308 | 2008-01-14 |
| 1932398831 | Reproductive Endocrinologists, PC | Obstetrics & Gynecology | 903 15th St, Augusta, GA 30901-2607 | 2007-10-17 |
| 1750458261 | Specialty Gynecology PC | Obstetrics & Gynecology | 2398 Mount Vernon Rd, Suite 150, Dunwoody, GA 30338-3064 | 2006-11-29 |
| 1558432179 | Puthugramam K Natrajan | Obstetrics & Gynecology | 903 15th Street, Augusta, GA 30910 | 2006-11-13 |
| 1235211442 | Paula Abby Rothman | Obstetrics & Gynecology | 7141 Hunters Branch Ct Ne, Atlanta, GA 30328-1709 | 2006-10-19 |
| 1538278940 | Lawrence C. Layman | Obstetrics & Gynecology | 810 Chafee Ave, Augusta, GA 30904-5806 | 2006-08-30 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.