DR. FREDERICK C BLUM (NPI# 1639272560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639272560 |
| Entity Type | Individual |
| Full Name | DR. FREDERICK C BLUM |
| Credential | M.D. |
| Practice Address |
101 Stadium Drive Morgantown WV 26506 |
| Mailing Address |
P. O. Box 897 Morgantown WV 26507-0897 |
| Practice Telephone | 3045984000 |
| Mailing Telephone | 3042937401 |
| Mailing Fax Number | 3042936963 |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2020-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 13484 | WV | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WV | 0084766000 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053506147 | Frederick Blum | Marriage & Family Therapist | 16955 Lemon St, Hesperia, CA 92345-5139 | 2007-09-11 |
| 1184766420 | Frederick S. Blum | Radiologic Technologist | 7990 Sw 117th Ave, Suite 113, Miami, FL 33196 | 2007-02-13 |
| Street Address |
101 STADIUM DRIVE |
| City | MORGANTOWN |
| State | WV |
| Zip Code | 26506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700989647 | Jeffrey H Coben | Emergency Medicine | 101 Stadium Drive, Morgantown, WV 26506 | 2006-09-06 |
| 1417586702 | Azhara Binte Azhar | Student in an Organized Health Care Education/Training Program | 101 Stadium Drive, Morgantown, WV 26506-7911 | 2020-04-07 |
| 1407184831 | Kelli Lynn Queen | Nurse Practitioner | 101 Stadium Drive, Morgantown, WV 26506-0000 | 2009-11-23 |
| 1740456995 | Josephine Reece | Internal Medicine | 101 Stadium Drive, Uha Morgantown, Morgantown, WV 26506 | 2008-05-07 |
| 1124202312 | Rita L Matulavich | Nurse Anesthetist, Certified Registered | 101 Stadium Drive, Morgantown, WV 26506 | 2007-12-24 |
| 1841417870 | Andrew L Criser | Anesthesiology | 101 Stadium Drive, Morgantown, WA 26506 | 2007-04-19 |
| 1801013420 | Bijal Neal | Anesthesiology | 101 Stadium Drive, Morgantown, WV 26506 | 2007-04-18 |
| 1932289816 | Vicki L Everly | Emergency Medicine | 101 Stadium Drive, Morgantown, WV 26505 | 2006-10-16 |
| 1962582841 | William T Dickey | Emergency Medicine | 101 Stadium Drive, Morgantown, WV 26505 | 2006-10-16 |
| 1043390925 | Jack F Ditty IIi | Emergency Medicine | 101 Stadium Drive, Morgantown, WV 26505 | 2006-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124656491 | Lauren Bakos | Student in an Organized Health Care Education/Training Program | Department of Oral Surgery Room 1200 Hsc North, Morgantown, WV 26506 | 2020-03-31 |
| 1720613888 | Katharina Marie Mitchell | Student in an Organized Health Care Education/Training Program | Wvu Hospitals Ruby Memorial & Physician Office Center, 1 Medical Center Drive, Morgantown, WV 26506 | 2020-03-10 |
| 1811533961 | Hongyan Wu | Nurse Practitioner | Neurology Clinic, Wvu Eye Institute, 1 Medical Center Drive, Morgantown, WV 26506 | 2019-11-25 |
| 1871054569 | Brandon Chase Neeley | Student in an Organized Health Care Education/Training Program | 1 Stadium Dr Fl 3 Eye Institute, Morgantown, WV 26506 | 2019-03-26 |
| 1588125223 | Temitope Michael Kehinde | Student in an Organized Health Care Education/Training Program | 64 Medical Center Drive 2305hscn, Morgantown, WV 26506 | 2019-03-26 |
| 1417412743 | West Virginia University Hospitals, Inc. | Substance Abuse Rehabilitation Facility | 751 Benefactor Drive, Morgantown, WV 26506 | 2019-01-31 |
| 1932603024 | Emma Bacharach | Student in an Organized Health Care Education/Training Program | J.w. Ruby Memorial Hospital, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-22 |
| 1982108270 | Qaisar Syed | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-21 |
| 1417451063 | Michael Savilla | Student in an Organized Health Care Education/Training Program | Wvu Medicine Anesthesiology, 1 Medical Center Drive, Morgantown, WV 26506 | 2018-03-20 |
| 1194255620 | William Black | Dentist | Room 1200 Hsc North, P.o. Box 9475, Morgantown, WV 26506 | 2017-06-18 |
| Find all providers in zip 26506 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679922686 | Ben Lasure | Emergency Medicine | 1 Medical Center Dr Room 7400, Morgantown, WV 26506-9149 | 2016-06-09 |
| 1912355223 | Damian Hegsted | Emergency Medicine | 1 Medical Center Drive, Room 7400, Po Box (9149), Morgantown, WV 26506 | 2016-05-26 |
| 1659784056 | Medexpress Urgent Care, Inc - West Virginia | Emergency Medicine | 956 Maple Dr, Morgantown, WV 26505-2813 | 2014-06-04 |
| 1215279872 | Zebula Michael Reed | Emergency Medicine | One Medical Center Drive, Hsc, West Virginia University Hospital, Morgantown, WV 26506-9149 | 2013-03-21 |
| 1295024115 | Walter Mckenna D'alonzo | Emergency Medicine | One Medical Center Drive, Po 9149, West Virginia University Hospitals, Morgantown, WV 26506-9149 | 2011-03-31 |
| 1306080809 | Benjamin Andrew Silverberg | Emergency Medicine | 390 Birch Street, Health and Education Building, Morgantown, WV 26506-6894 | 2009-04-28 |
| 1962655613 | West Virginia University Medical Corporation | Emergency Medicine | 301 Suncrest Towne Centre Drive, Morgantown, WV 26505-1874 | 2008-10-28 |
| 1295902062 | Marion Joyce Colburn | Emergency Medicine | 1 Med Center Dr., Morgantown, WV 26506 | 2008-05-12 |
| 1669655882 | Deborah P. O'neal | Emergency Medicine | 301 Suncrest Town Centre Dr, Morgantown, WV 26505-1874 | 2007-12-11 |
| 1902001563 | Anna Marie Scott | Emergency Medicine | Ruby Memorial Hospital, Morgantown, WV 26505 | 2007-06-15 |
| Find all providers in MORGANTOWN | ||||
| City | MORGANTOWN |
| Zip Code | 26506 |
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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.