PAUL HENRY BLOM (NPI# 1184601908) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184601908 |
Entity Type | Individual |
Full Name | PAUL HENRY BLOM |
Credential | MD |
Practice Address |
5221 Us Route 60 E Radiology Inc Huntington WV 25705-2022 |
Mailing Address |
Po Box 910 Radiology Inc Huntington WV 25712-0910 |
Practice Telephone | 3045221550 |
Practice Fax Number | 3045220704 |
Mailing Telephone | 3045221550 |
Mailing Fax Number | 3045221073 |
Enumeration Date | 2005-12-22 |
Last Update Date | 2010-01-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
35-085169 | OH | Allopathic & Osteopathic Physicians |
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
39150 | KY | Allopathic & Osteopathic Physicians |
Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
21514 | WV | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KY | 6407884300 | 05 | |
WV | RR MEDICARE (WV) | P00099468 | 01 |
KY | PASSPORT | 50007259 | 01 |
WV | 1810941000 | 05 | |
OH | 2466031 | 05 | |
OH | UNISON | 000000205297 | 01 |
WV | WORKMANS COMP | 55079337600 | 01 |
MTN STATE BCBS | 000011745 | 01 | |
AETNA | 7061267 | 01 |
Street Address |
5221 US ROUTE 60 E RADIOLOGY INC |
City | HUNTINGTON |
State | WV |
Zip Code | 25705-2022 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205810918 | Marsha Slaughter Anderson | Radiology | 5221 Us Route 60 E, Radiology Inc, Huntington, WV 25705-2022 | 2005-12-06 |
1922397074 | Stephen Scott Metheny | Nurse Practitioner | 5221 Us Route 60 E, Huntington, WV 25705-2022 | 2011-03-29 |
1508077892 | Mark Akers | Radiology | 5221 Us Route 60 E, Huntington, WV 25705-2022 | 2007-05-25 |
1285703108 | Jeffrey Lee Rowe | Nurse Practitioner | 5221 Us Route 60 E, Radiology, Inc., Huntington, WV 25705-2022 | 2006-11-07 |
1093750549 | Jason G Fikes | Physician Assistant | 5221 Us Route 60 E, Huntington, WV 25705-2022 | 2006-06-18 |
1538125398 | Subramaniam N Subramaniam | Radiology | 5221 Us Route 60 E, Huntington, WV 25705-2022 | 2006-04-21 |
1881655504 | James Milton Reynolds | Radiology | 5221 Us Route 60 E, Huntington, WV 25705-2022 | 2006-03-31 |
1457339277 | Radiology Inc | Radiology | 5221 Us Route 60 E, Huntington, WV 25705-2022 | 2006-01-03 |
1063499655 | Torin Patrick Walters | Radiology | 5221 Us Route 60 E, Huntington, WV 25705-2022 | 2005-12-27 |
1972580561 | Robert J Cure | Radiology | 5221 Us Route 60 E, Radiology Inc, Huntington, WV 25705-2022 | 2005-12-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427664010 | Jessica Ann Richmond | Pharmacist | 3333 Us-60, Huntington, WV 25705 | 2020-09-18 |
1407418718 | Manpreet Kaur | Student in an Organized Health Care Education/Training Program | 3377 60 E, Huntington, WV 25705 | 2019-07-08 |
1508347238 | Catherine Lea Chapman | Family Medicine | 1530 Norway Ave - Mildred Mitchel Bateman Hospital, Huntington, WV 25705 | 2018-08-21 |
1306330311 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3375 Us Route 60 E Ste P, Huntington, WV 25705 | 2018-06-22 |
1407358120 | Sara Megan Hensley | Registered Nurse | 4 Rujon Dr, Huntington, WV 25705 | 2018-03-08 |
1104332329 | Brenda Joyce Lemaster | Technician | 5226 Irwin Road, Huntington, WV 25705 | 2017-12-26 |
1750824033 | Chad Butler | Pharmacist | 3377 Route 60 East, Huntington, WV 25705 | 2016-11-18 |
1952769549 | Tonya Lynn Holley | Nurse Practitioner | 3375 Us 60, Huntington, WV 25705 | 2016-02-10 |
1609262930 | Jenny Ann Kerr | Social Worker | 3375 Us Rt 60 East, Huntington, WV 25705 | 2015-04-14 |
1093117566 | Starlight Behavioral Health Services Inc | Community/Behavioral Health | 5315 Cherry Lawn Rd, Huntington, WV 25705 | 2014-09-16 |
Find all providers in zip 25705 |
Taxonomy Code | 2085R0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Vascular & Interventional Radiology |
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912953092 | James Mitchell Martin | Radiology | 5221 Us Route 60 East, Huntington, WV 25705 | 2006-05-26 |
1225301534 | Anthony Samuel Armetta | Radiology | 270 Park Ave, Huntington, NY 11743 | 2012-02-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306920756 | John A Adeniyi | Radiology | 527 Medical Park Dr Ste 501, Bridgeport, WV 26330 | 2006-10-24 |
1932108180 | David L. Groten | Radiology | 608 New Hope Rd Ste 7, Princeton, WV 24740-2287 | 2005-07-19 |
1023350139 | Robert Grammer | Radiology | 1 Medical Center Dr, Morgantown, WV 26506-1200 | 2013-03-27 |
1902863954 | Samuel R Davis | Radiology | 400 6th Ave, Montgomery, WV 25136-2117 | 2006-04-26 |
1679572564 | Aroor Kinni Raja Rao | Radiology | 200 New Hope Rd, Quail Valley Medical Center No 7, Princeton, WV 24740-2155 | 2005-07-21 |
City | HUNTINGTON |
Zip Code | 25705 |
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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.