BLAUM BREAST CARE SPECIALIST LLC (NPI# 1467723866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467723866 |
| Entity Type | Organization |
| Organization Name | BLAUM BREAST CARE SPECIALIST LLC |
| Practice Address |
480 Pierce St New Bridge Center, Suite #312-314 Kingston PA 18704-5512 |
| Practice Telephone | 5707143911 |
| Practice Fax Number | 5707143912 |
| Mailing Telephone | 5707143911 |
| Mailing Fax Number | 5707143912 |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-18 |
| Authorized Official Name | BETH A BRENNAN (BILLING MANAGER) |
| Authorized Official Telephone | 5706936163 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
480 PIERCE ST NEW BRIDGE CENTER, SUITE #312-314 |
| City | KINGSTON |
| State | PA |
| Zip Code | 18704-5512 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467451591 | Paul Thomas Taren | Psychologist | 480 Pierce St, Suite 115, Kingston, PA 18704-5512 | 2005-07-20 |
| 1649881665 | Jamie Judge | Social Worker | 480 Pierce St, Kingston, PA 18704-5512 | 2020-08-13 |
| 1275981573 | Wyoming Valley Alcohol and Drug Services Inc | Counselor | 480 Pierce St, 316-317, Kingston, PA 18704-5512 | 2016-05-26 |
| 1174971527 | Griswold International, LLC | In Home Supportive Care | 480 Pierce St, Kingston, PA 18704-5512 | 2016-05-26 |
| 1891036117 | Matrix Wound Supply | Durable Medical Equipment & Medical Supplies | 480 Pierce St, Suite 101, Kingston, PA 18704-5512 | 2013-03-12 |
| 1144578758 | Diana Cuello | Psychologist | 480 Pierce St, Suite 305, Kingston, PA 18704-5512 | 2012-08-29 |
| 1508111881 | Debra A Pavlico | Counselor | 480 Pierce St, New Bridge Center, Suite 206, Kingston, PA 18704-5512 | 2012-07-23 |
| 1699034934 | Stephen M. Timchack, Psyd, P.C. | Psychologist | 480 Pierce St, Suite 119, Kingston, PA 18704-5512 | 2012-05-07 |
| 1699912691 | Abby Russin, Ph.d., LLC | Psychologist | 480 Pierce St, Suite 119, Kingston, PA 18704-5756 | 2009-01-13 |
| 1023281557 | Stephen M Timchack | Counselor | 480 Pierce St, Suite 119, Kingston, PA 18704-5512 | 2008-04-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013557552 | Millmark Health Inc. | Psychiatry & Neurology | 511 Pierce Street, Kingston, PA 18704 | 2020-01-13 |
| 1427550334 | Michael Anthony Waltich | Military Health Care Provider | 82 Cooper Street, Pringle, PA 18704 | 2018-03-06 |
| 1376088435 | Jae LLC | Massage Therapist | 512 Northhampton Street, Edwardsville, PA 18704 | 2016-12-28 |
| 1306278288 | Mohammad Khaled Tashkandi | Internal Medicine | 490 Northampton St Ste 1, Edwardsville, PA 18704 | 2013-08-02 |
| 1396180014 | Sammie Craven IIi | Pharmacist | 96 1st Avenue, Kingston, PA 18704 | 2013-05-08 |
| 1447693114 | Catherine Mary Harding | Nurse Practitioner | 141 South Maple Ave, Kingston, PA 18704 | 2013-04-12 |
| 1861781403 | Jennifer Ann Richards | Pharmacist | 22 West Side Mall, Edwardsville, PA 18704 | 2011-04-05 |
| 1558512772 | Jolon Theresa Sherin | Speech-Language Pathologist | 1825 Sans Souci Highway, Hanover, PA 18704 | 2008-10-07 |
| 1932361102 | Kari Ann Pietralczyk | Audiologist | 190 Welles Street, Forty-fort, PA 18704 | 2008-06-30 |
| 1467584151 | John Christopher Storti | Chiropractor | 180 United Penn Plaza, Kingston, PA 18704 | 2007-03-09 |
| Find all providers in zip 18704 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558997015 | Health Quest Medcial Practice, PC | Surgery | 1240 Ulster Ave, Kingston, NY 12401-1517 | 2020-03-17 |
| 1023572278 | Geisinger Clinic | Surgery | 480 Pierce St Ste 314, Kingston, PA 18704-5512 | 2019-01-22 |
| 1982048625 | Fernando Jorge Abrantes | Surgery | 36 Butler St, Kingston, PA 18704-4721 | 2013-04-24 |
| 1528111051 | Jalal Mahdavian | Surgery | 40 Hurley Ave Ste 5, Kingston, NY 12401-3738 | 2007-01-19 |
| 1144373929 | Jamal Mahdavian | Surgery | 40 Hurley Ave Suite 5, Kingston, NY 12401 | 2007-01-18 |
| 1518070689 | Zoe A. Weinstein | Surgery | 117 Mary's Ave, Suite 203, Kingston, NY 12401 | 2006-08-15 |
| 1730178377 | Kalyan R. Venkat | Surgery | 40 Hurley Ave, Suite 17, Kingston, NY 12401-3739 | 2005-10-17 |
| 1982220737 | Health Quest Medical Practice, PC | Surgery | 1240 Ulster Ave, Kingston, NY 12401-1517 | 2020-06-17 |
| 1861994162 | Health Quest Medical Practice, PC | Surgery | 334 Plaza Rd, Kingston, NY 12401-2975 | 2018-03-02 |
| 1578820668 | Andrews and Verazin Surgical Consultants | Surgery | 390 Pierce St, Kingston, PA 18704-5532 | 2012-04-13 |
| Find all providers in KINGSTON | ||||
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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.