MOLLY J BLOOM


Address: 111 Brewster St, Pawtucket, RI 02860-4400
Phone: 4017222938

MOLLY J BLOOM (NPI# 1447784665) 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) 1447784665
Entity Type Individual
Full Name MOLLY J BLOOM
Credential MD
Practice Address 111 Brewster St
Pawtucket
RI 02860-4400
Mailing Address 455 Toll Gate Rd
Warwick
RI 02886-2759
Practice Telephone 4017222938
Mailing Telephone 4012730641
Enumeration Date 2017-04-13
Last Update Date 2020-07-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine MD17127 RI Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Provider Secondary Practice Location

Address Telephone Number Fax Number
4151 Bladensburg Rd, Colmar Manor, MD 207221928 3016997700

Other Providers MOLLY BLOOM

NPI Name Taxonomy Address Enumeration
1972143691 Molly Bloom Clinic/Center 310 N Loomis St, Chicago, IL 60607-1147 2020-01-10
1578894150 Molly M Bloom Pharmacist 3333 W 11th Ave, Eugene, OR 97402-3038 2010-01-21

Office Location

Street Address 111 BREWSTER ST
City PAWTUCKET
State RI
Zip Code 02860-4400

Providers in the same location

NPI Name Taxonomy Address Enumeration
1275534281 Zsolt Orban Internal Medicine 111 Brewster St, Pawtucket, RI 02860-4474 2005-08-02
1861020646 Marleny Margarita Acosta Family Medicine 111 Brewster St, Pawtucket, RI 02860-4400 2020-03-29
1508492208 Kimberly A Ainsworth Nurse Practitioner 111 Brewster St, Pawtucket, RI 02860-4400 2020-03-14
1962066878 Pavinarmatha Ketheeswaran Family Medicine 111 Brewster St, Pawtucket, RI 02860-4474 2019-04-25
1679137780 Rebecca Lauren Lach Family Medicine 111 Brewster St, Pawtucket, RI 02860-4474 2019-04-24
1700349495 Katharina Rosalinde De Klerk Family Medicine 111 Brewster St, Pawtucket, RI 02860-4474 2019-04-09
1962965905 Matthew Perry Family Medicine 111 Brewster St, Pawtucket, RI 02860-4474 2019-04-08
1184185662 Amber Cardoos Family Medicine 111 Brewster St, Pawtucket, RI 02860-4474 2019-03-27
1073073581 Cailey Indech Family Medicine 111 Brewster St, Pawtucket, RI 02860-4474 2019-03-21
1639639271 Laura Nicole Hoeg Family Medicine 111 Brewster St, Pawtucket, RI 02860-4474 2019-03-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972096923 Lmb Medical LLC Internal Medicine 127 School St, Pawtucket, RI 02860 2018-06-13
1215420435 Tyla Jackson Behavior Technician 70 Wood St Apt 22, Pawtucket, RI 02860 2018-06-12
1376048637 Michael A Iadevaia Family Medicine 111 Brewster St Fl 3, Pawtucket, RI 02860 2018-03-28
1730690488 Anthony Edwin Ramicone Physician Assistant 407 East Ave Ste 120, Pawtucket, RI 02860 2017-10-21
1669991352 Kathleen K. Kroessler, Md; Neurology & Acupuncture, Inc. PC Clinic/Center 407 East Ave; Suite 110, Pawtucket, RI 02860 2017-09-13
1841716230 Ri Alternative Academy Management, LLC Local Education Agency (LEA) 249 Roosevelt Avenue, Pawtucket, RI 02860 2017-08-17
1396265724 Hannah R Stoops Family Medicine 111 Brewster St Fcc A, Pawtucket, RI 02860 2017-06-27
1427578400 Shaun Michael Flynn Family Medicine 111 Brewster St, Fcc A, Pawtucket, RI 02860 2017-06-21
1073051843 Laura Jane Amaral Counselor 750 East Ave Unit 1e, Pawtucket, RI 02860 2017-02-01
1063862027 Stephanie Shoppell Counselor 105 Bacon Street, Pawtucket, RI 02860 2016-06-20
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750930103 Integrated Psychological Services Family Medicine 333 School St Ste 109, Pawtucket, RI 02860-5335 2019-09-09
1417417734 Danielle Turnquest Family Medicine 111 Brewster St Bldg 3, Pawtucket, RI 02860-4474 2019-03-22
1376048637 Michael A Iadevaia Family Medicine 111 Brewster St Fl 3, Pawtucket, RI 02860 2018-03-28
1396265724 Hannah R Stoops Family Medicine 111 Brewster St Fcc A, Pawtucket, RI 02860 2017-06-27
1427578400 Shaun Michael Flynn Family Medicine 111 Brewster St, Fcc A, Pawtucket, RI 02860 2017-06-21
1093120388 Nelson Mendes Family Medicine 381 Pawtucket Ave, Pawtucket, RI 02860-5145 2014-06-25
1316187941 Powers Family Health Family Medicine 174 Armistice Blvd Ste A1, Pawtucket, RI 02860-3269 2009-02-23
1376700039 Suryadutt Venkat Family Medicine 126 Prospect St Ste 202, Pawtucket, RI 02860 2008-05-20
1154501708 Donya A Powers Md Family Medicine 174 Armistice Blvd Ste 1a, Pawtucket, RI 02860-3269 2007-11-13
1386757656 Cristina Pacheco Family Medicine 39 East Ave, Pawtucket, RI 02860-4003 2006-08-17
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Competitor

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City PAWTUCKET
Zip Code 02860

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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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