DR. THOMAS BLOEM (NPI# 1679628960) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679628960 |
| Entity Type | Individual |
| Full Name | DR. THOMAS BLOEM |
| Other Name | THOMAS BLOEM |
| Credential | DDS, MS |
| Practice Address |
5340 Plymouth Rd Suite 110 Ann Arbor MI 48105-9341 |
| Practice Telephone | 7349954699 |
| Practice Fax Number | 7349959685 |
| Mailing Telephone | 7349954699 |
| Mailing Fax Number | 7349959685 |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0700X |
Dentist Specialization: Prosthodontics |
2901011268 | MI | Dental Providers |
| Street Address |
5340 PLYMOUTH RD SUITE 110 |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48105-9341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306838404 | Sally Rose Szymanski | Psychiatry & Neurology | 5340 Plymouth Rd, Suite 207, Ann Arbor, MI 48105-9341 | 2005-08-16 |
| 1710543269 | Amanda Lynn Luurtsema | Social Worker | 5340 Plymouth Rd, Ann Arbor, MI 48105-9341 | 2019-05-09 |
| 1346715422 | Taylor Raeann Jones | Psychologist | 5340 Plymouth Rd, Ann Arbor, MI 48105-9341 | 2018-10-04 |
| 1003359928 | Amy Paggeot | Psychologist | 5340 Plymouth Rd, Suite #210, Ann Arbor, MI 48105-9341 | 2016-11-25 |
| 1003359126 | Jennifer Ratliff-moss Lmsw, LLC | Social Worker | 5340 Plymouth Rd, Suite 208, Ann Arbor, MI 48105-9341 | 2016-11-21 |
| 1891197059 | Jennifer Ann Ratliff-moss | Social Worker | 5340 Plymouth Rd, Ste 208, Ann Arbor, MI 48105-9341 | 2014-09-18 |
| 1316278609 | Lisa Michelle Wiley | Occupational Therapist | 5340 Plymouth Rd, Suite 100, Ann Arbor, MI 48105-9341 | 2010-01-26 |
| 1992913784 | Thomas J. Bloem Dds Ms PC | Dentist | 5340 Plymouth Rd, Suite 110, Ann Arbor, MI 48105-9341 | 2007-05-18 |
| 1083771117 | Diane M. Gartland | Psychologist | 5340 Plymouth Rd, Suite 209, Ann Arbor, MI 48105-9341 | 2007-01-01 |
| 1609949171 | Healing In Motion Pllc | Physical Therapist | 5340 Plymouth Rd, Suite 100, Ann Arbor, MI 48105-9341 | 2006-11-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730728718 | Alexander Jendrusina | Psychologist | Va Ann Arbor Healthcare System, 2215 Fuller Rd, Ann Arbor, MI 48105 | 2019-12-23 |
| 1417515875 | Christine Shyh Wang | Student in an Organized Health Care Education/Training Program | 4029 Avenue Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2019-05-31 |
| 1013475003 | Ryan Wang | Physician Assistant | 4883 S. Ridgeside Cir, Ann Arbor, MI 48105 | 2019-03-08 |
| 1801366265 | Amruta Sonavaria | Physical Therapist | 4701 East Huron River Drive, Ann Arbor, MI 48105 | 2018-11-28 |
| 1568955730 | Alexander Sliwicki | Pediatrics | 1500 East Medical Drive, Medical Professional Building, Ann Arbor, MI 48105 | 2018-06-12 |
| 1902398464 | Austin Remington | Student in an Organized Health Care Education/Training Program | 4029 Ave Maria Drive, Lobby A, Suite 1200, Ann Arbor, MI 48105 | 2018-05-31 |
| 1881191658 | Stephen James Hickner | Student in an Organized Health Care Education/Training Program | St. Mary Mercy Outpatient Psychiatric Services, 2006 Hogback Road, Suite 1, Ann Arbor, MI 48105 | 2018-04-09 |
| 1245681709 | Winnie Nhan | Internal Medicine | 4000 Ave Maria Dr, Lobby C Suite 1300, Ann Arbor, MI 48105 | 2016-06-27 |
| 1861857971 | Connie Chen | Pharmacist | 2215 Fuller Road (119), Ann Arbor, MI 48105 | 2015-12-17 |
| 1407241193 | Stefan Craciun | Emergency Medicine | 3484 Ashburnam Rd, Ann Arbor, MI 48105 | 2015-03-31 |
| Find all providers in zip 48105 | ||||
| Taxonomy Code | 1223P0700X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Prosthodontics |
| That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952388514 | Thomas S Marshall | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2005-12-26 |
| 1679577266 | Kevin M Sloan | Dentist | 1717 Pauline Blvd, Ann Arbor, MI 48103-5207 | 2005-06-10 |
| 1831731116 | Maryam Gheisarifar | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2019-10-08 |
| 1831603976 | Kane Dentistry | Dentist | 760 W Eisenhower Pkwy Ste 120, Ann Arbor, MI 48103-5890 | 2017-11-28 |
| 1477745057 | Berna Saglik | Dentist | 1011 N University Ave, Ann Arbor, MI 48109-1078 | 2007-08-16 |
| 1992913784 | Thomas J. Bloem Dds Ms PC | Dentist | 5340 Plymouth Rd, Suite 110, Ann Arbor, MI 48105-9341 | 2007-05-18 |
| 1710008065 | Shyroze Nathoo Rehemtulla | Dentist | 2345 S Huron Pkwy, Ann Arbor, MI 48104-5124 | 2007-04-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083247803 | Neil L Matthews Dds PC | Dentist | 305 Barclay Cir Ste 1004, Rochester Hills, MI 48307-4572 | 2020-02-20 |
| 1336672831 | Jennifer Moeller | Dentist | 31410 Northwestern Hwy Ste E, Farmington Hills, MI 48334-2563 | 2017-04-11 |
| 1780040998 | Minaal Verma | Dentist | 41980 Manor Park Dr, Apt 122, Novi, MI 48375-2775 | 2016-01-05 |
| 1750638995 | David Lawrence Aitken | Dentist | 2021 Timber Point Dr Se, Ada, MI 49301-8323 | 2012-08-07 |
| 1184987075 | Yasser Alali | Dentist | 430 North Telegraph Road, Dearborn, MI 48128 | 2012-06-17 |
| 1013216639 | Prosthetic and Implants Dentistry PC | Dentist | 1206 S Washington Ave, Royal Oak, MI 48067-3222 | 2011-03-22 |
| 1710130174 | Andrew Koran IIi | Dentist | 7346 Park Lake Dr, Dexter, MI 48130-9616 | 2008-10-29 |
| 1225203714 | William H Roedema | Dentist | 3739 Basswood Dr Sw, Grandville, MI 49418-2003 | 2008-04-25 |
| 1679747455 | Michael P. Girskis | Dentist | 37667 Pembroke Ave, Livonia, MI 48152 | 2008-04-14 |
| 1417121294 | Stephen J. Riedy | Dentist | 31544 Schoolcraft Rd, Livonia, MI 48150-1805 | 2008-04-14 |
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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.