MR. MICHAEL SCOTT BLOOM (NPI# 1639128689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639128689 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL SCOTT BLOOM |
| Credential | M.D. |
| Practice Address |
1 Childrens Plz Dayton OH 45404-1898 |
| Mailing Address |
1 Childrens Plz Dayton OH 45404-1873 |
| Practice Telephone | 9376413020 |
| Practice Fax Number | 9372269605 |
| Mailing Telephone | 9377237772 |
| Mailing Fax Number | 9372269605 |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2020-04-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 207W00000X | OH | Allopathic & Osteopathic Physicians |
| Y | 207WX0110X |
Ophthalmology Specialization: Pediatric Ophthalmology and Strabismus Specialist |
35066075B | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2099223 | 05 | |
| OH | 9111115 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427397413 | Michael Bloom | Physical Therapist | 2438 Bowers St Nw, Uniontown, OH 44685-6653 | 2013-02-11 |
| 1366527780 | Michael Aaron Bloom | Dentist | 9928 N Government Way, Hayden, ID 83835-9604 | 2006-10-25 |
| 1821197591 | Michael Gary Bloom | Neuromusculoskeletal Medicine, Sports Medicine | 15243 Van Owen St #403, Van Nuys, CA 91405 | 2006-09-21 |
| 1790703700 | Michael David Bloom | Dentist | 316 Wesley Ave, Ocean City, NJ 08226-4039 | 2006-07-17 |
| 1538149893 | Michael Steven Bloom | Dentist | 4154 Hicksville Rd, Bethpage, NY 11714-6216 | 2006-01-20 |
| 1477530392 | Michael V Bloom | Psychologist | 7920 Kirkland Ct, Portage, MI 49024-4974 | 2005-12-30 |
| 1982606430 | Michael Bloom | Family Medicine | 8995 Main St, Clarence, NY 14031-1927 | 2005-08-15 |
| 1336594456 | Michael Allen Bloom II | Speech-Language Pathologist | 4150 Clement St # 126, San Francisco, CA 94121-1545 | 2016-04-26 |
| 1861611543 | Michael Lloyd Bloom | Dentist | 875 Park Ave, Suite 1e, New York, NY 10021-0341 | 2007-04-24 |
| 1710094503 | Michael M Bloom | Optometrist | 2625 Piedmont Rd Ne, Suite 36g, Atlanta, GA 30324-3086 | 2006-08-25 |
| Street Address |
1 CHILDRENS PLZ |
| City | DAYTON |
| State | OH |
| Zip Code | 45404-1898 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124021324 | Dayton Children's Orthopaedic Center for Spinal & Pediatric Care, LLC | Specialist | 1 Childrens Plz, Dayton, OH 45404 | 2005-05-23 |
| 1346840782 | Lillian Delatore | Dietitian, Registered | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-10-26 |
| 1760081434 | Jennifer P Slye | Counselor | 1 Childrens Plz, Dayton, OH 45404-1815 | 2020-10-22 |
| 1255942868 | Dayton Children's Hospital | Pharmacy | 1 Childrens Plz, Dayton, OH 45404-1815 | 2020-08-17 |
| 1851917744 | Kylie Lynn Yike | Dietitian, Registered | 1 Childrens Plz, Dayton, OH 45404-1815 | 2020-06-17 |
| 1750901211 | Mitchell Alexander Mcclellan | Student in an Organized Health Care Education/Training Program | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-04-24 |
| 1902426935 | Preston Keiffer | Student in an Organized Health Care Education/Training Program | 1 Childrens Plz, Dayton, OH 45404-1815 | 2020-04-20 |
| 1336768829 | Emily Dippold | Physician Assistant | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-04-14 |
| 1811516875 | Courtney Ann Pierron | Student in an Organized Health Care Education/Training Program | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-04-10 |
| 1790304905 | Kate Redding Boroff | Student in an Organized Health Care Education/Training Program | 1 Childrens Plz, Dayton, OH 45404-1873 | 2020-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134587108 | Addison Home Health Services LLC | Nursing Care | 1819 Troy St Ste 3, Dayton, OH 45404 | 2016-02-05 |
| 1437593951 | Ronna Sue Tilley | Licensed Practical Nurse | 550 Dawes Avenue, Dayton, OH 45404 | 2013-04-26 |
| 1932397544 | Children's Anesthesia Group Inc | Anesthesiology | 1 Children's Plz, Dayton, OH 45404 | 2007-10-09 |
| 1922135292 | Donald J Elsbernd Dds Inc | Dentist | 825 Troy St, Dayton, OH 45404 | 2007-02-27 |
| 1124172036 | Mary Ann Wallace | Home Delivered Meals | 900 Troy Street, Dayton, OH 45404 | 2007-01-22 |
| 1225094287 | Ann E Burke | Pediatrics | One Childrens Plaza, Dayton, OH 45404 | 2006-04-26 |
| 1508838244 | Virginia G Matheson | Psychiatry & Neurology | Dayton Children's Hospital, One Children's Plaza, Dayton, OH 45404 | 2006-02-06 |
| 1952921710 | Daniel Oder | Student in an Organized Health Care Education/Training Program | 1 Children's Plaza, Dayton Children's Hospital, Cheri Russell, Dayton, OH 45404 | 2020-04-22 |
| 1356802276 | Alec Kelley | Student in an Organized Health Care Education/Training Program | Dayton Children's Hospital, One Children's Plaza, Dayton, OH 45404 | 2019-03-26 |
| 1205360831 | Chiara Foster | Student in an Organized Health Care Education/Training Program | 1 Childrens Plaza, Dayton, OH 45404 | 2017-04-20 |
| Find all providers in zip 45404 | ||||
| Taxonomy Code | 207WX0110X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| Specialization | Pediatric Ophthalmology and Strabismus Specialist |
| An ophthalmologist who specializes in pediatric ophthalmology and strabismus management. The subspecialty includes the medical and surgical management of eye disorders found in children. Some of the more common disorders include amblyopia, strabismus, refractive error, cataract and glaucoma. These disorders may be related to neurological and endocrinological diseases, trauma, or aging changes in the extraocular muscles requiring medical, optical and surgical management. |
| Notes: Source: American Academy of Ophthalmology, www.aao.org [7/1/2017: new] - Additional Resources: Association of University Professors of Ophthalmology, www.aupo.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710480439 | Robert Bloom Optical | Ophthalmology | 1 Childrens Plz, Dayton, OH 45404-1873 | 2018-03-09 |
| 1649342890 | Bloom Family Eye Surgeons Ltd | Ophthalmology | 1 Childrens Plz, Dayton, OH 45404-1898 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639737992 | Ferhat Evliyaoglu | Ophthalmology | 1 Perkins Sq, Akron, OH 44308-1063 | 2019-06-02 |
| 1447592761 | Syeda Maryam Ahmed Naqvi | Ophthalmology | 9302 Towne Square Ave, Blue Ash, OH 45242-6943 | 2013-03-25 |
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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.