PAUL HENRY BLOM


Address: 5221 Us Route 60 E, Radiology Inc, Huntington, WV 25705-2022
Phone: 3045221550

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

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

Office Location

Street Address 5221 US ROUTE 60 E
RADIOLOGY INC
City HUNTINGTON
State WV
Zip Code 25705-2022

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 2085R0204X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Vascular & Interventional Radiology

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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

Competitor

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City HUNTINGTON
Zip Code 25705

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Dataset Information

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.

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