RICHARD B BLOOM (NPI# 1417077272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417077272 |
| Entity Type | Individual |
| Full Name | RICHARD B BLOOM |
| Credential | DO |
| Practice Address |
3730 N Ridge Rd Ste 200 Kansas Endovascular Medicine Associates Wichita KS 67205-1228 |
| Mailing Address |
95068 Spring Tide Ln Fernandina Beach FL 32034-5460 |
| Practice Telephone | 3164621070 |
| Practice Fax Number | 3164621078 |
| Mailing Telephone | 9042772803 |
| Mailing Fax Number | 9042772803 |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
T01157 | KS | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003189010 | Richard Bloom | Internal Medicine | 4105 Costado Rd., Pebble Beach, CA 93953-3004 | 2012-02-22 |
| 1346410123 | Richard M Bloom | Chiropractor | 100 Red Schoolhouse Rd, 7a, Chestnut Ridge, NY 10977-7049 | 2008-03-07 |
| 1952481251 | Richard R Bloom | Surgery | 1900 5th Ave, Columbus, GA 31904 | 2006-10-17 |
| 1487678207 | Richard Bloom | Marriage & Family Therapist | 865 3rd St, Santa Rosa, CA 95404-4515 | 2006-07-26 |
| 1063442705 | Richard A. Bloom | Internal Medicine | 194 Lakeside Pl, Highland Park, IL 60035-5317 | 2006-07-04 |
| 1548298250 | Richard R Bloom | Chiropractor | 13947 Beach Blvd Ste 202, Jacksonville, FL 32224-1200 | 2006-06-29 |
| 1326046301 | Richard Michael Bloom | Dentist | 2870 Hempstead Tpke, Suite 101, Levittown, NY 11756-1341 | 2005-07-13 |
| 1447256227 | Richard Fredric Bloom | Psychologist | 292 Post Rd E, Westport, CT 06880-3614 | 2005-06-25 |
| 1548396146 | Richard Stevan Bloom | Social Worker | 39700 Bob Hope Dr, Suite 216, Rancho Mirage, CA 92270-3267 | 2007-02-26 |
| 1871641282 | Richard Kenneth Bloom | Psychologist | 925 The Alameda, #11, Berkeley, CA 94707 | 2007-01-08 |
| Street Address |
3730 N RIDGE RD STE 200 KANSAS ENDOVASCULAR MEDICINE ASSOCIATES |
| City | WICHITA |
| State | KS |
| Zip Code | 67205-1228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295211910 | Emily M Chastain | Dentist | 3213 N. Ridge Rd, Wichita, KS 67205 | 2018-07-16 |
| 1811415466 | Awaken Psychology LLC | Clinic/Center | 2552 N Maize Ct Suite 600, Wichita, KS 67205 | 2017-09-05 |
| 1962940288 | Moc Wichita LLC | Assisted Living Facility | 7057 W Village Circle, Wichita, KS 67205 | 2017-02-07 |
| 1003362732 | Moc Wichita, LLC | Assisted Living Facility | 7057 West Village Circle, Wichita, KS 67205 | 2016-09-01 |
| 1649637653 | Abigail Friend | Audiologist-Hearing Aid Fitter | 2558 Lake Way Circle, Wichita, KS 67205 | 2016-01-21 |
| 1134505399 | Myles Davidson | Dentist | 3510 N Ridge Rd Ste 500, Wichita, KS 67205 | 2015-08-10 |
| 1093121097 | The Eye Gallery, LLC | Optometrist | 3084 N. Maize Rd, Wichita, KS 67205 | 2014-07-10 |
| 1922428721 | Sam's West, Inc. | Technician/Technologist | 3084 N. Maize Road, Witchita, KS 67205 | 2014-04-18 |
| 1447693627 | Caryn Rana Landreth | Social Worker | 3114 N Brush Creek St, Wichita, KS 67205 | 2013-04-08 |
| 1902182686 | Return To Motion Medical | Durable Medical Equipment & Medical Supplies | 3221 N Ridge Port Circle, Wichita, KS 67205 | 2011-10-26 |
| Find all providers in zip 67205 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417347857 | Kansas Vascular Medicine, P.a. | Internal Medicine | 6130 E Central Ave Ste 117, Wichita, KS 67208-4238 | 2015-01-23 |
| 1114234101 | James Clinton Mershon | Internal Medicine | 7617 E Donegal St, Wichita, KS 67206-1613 | 2010-09-12 |
| 1316013469 | Eecp Heart Center of Kansas Inc | Internal Medicine | 551 N Hillside St Ste 130, Wichita, KS 67214-4924 | 2006-11-28 |
| 1588646236 | Daniel Ryan Alvarez | Internal Medicine | 1515 S Clifton Ave Ste 320, Wichita, KS 67218-2953 | 2005-11-17 |
| 1063419109 | Jaime R Melean | Internal Medicine | 1431 Bluffview St, Ste 112, Wichita, KS 67218-3039 | 2005-07-05 |
| 1386640233 | Charles W Beck | Internal Medicine | 3535 N Webb Rd, Wichita, KS 67226-8127 | 2005-06-24 |
| 1194721951 | Dan A Francisco Md Pa | Internal Medicine | 1515 S Clifton Ave, Ste 150, Wichita, KS 67218-2957 | 2005-06-24 |
| 1619973906 | James A.m. Smith | Internal Medicine | 925 N Hillside St, Wichita, KS 67214-3219 | 2005-06-22 |
| 1710472162 | Christian A. Hourani, Md, Pa | Internal Medicine | 9350 E 35th St N Ste 101, Wichita, KS 67226-2022 | 2018-06-28 |
| 1760839179 | Matthew A. Butler, Md, Pa | Internal Medicine | 9350 E 35th St N, Suite 101, Wichita, KS 67226-2019 | 2016-05-17 |
| Find all providers in WICHITA | ||||
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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.