DR. HAYWOOD BLUM (NPI# 1689623324) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689623324 |
| Entity Type | Individual |
| Full Name | DR. HAYWOOD BLUM |
| Credential | M.D., PH.D. |
| Practice Address |
Good Samaritan Regional Medical Center, Emergency Dept 700 E Norwegian St Pottsville PA 17901 |
| Mailing Address |
3131 Taylor Dr Center Valley PA 18034-8709 |
| Practice Telephone | 5706214656 |
| Mailing Telephone | 6102824353 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2007-12-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | MD027475E | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 0012931210014 | 05 |
| Street Address |
GOOD SAMARITAN REGIONAL MEDICAL CENTER, EMERGENCY DEPT 700 E NORWEGIAN ST |
| City | POTTSVILLE |
| State | PA |
| Zip Code | 17901 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013409762 | Culture2culture, Inc. | Community/Behavioral Health | 110 E Arch St Fl 1, Pottsville, PA 17901 | 2018-05-30 |
| 1376059444 | Stacie Marie Herring | Registered Nurse | 1400 Laurel Boulevard, Pottsville, PA 17901 | 2017-12-27 |
| 1477092567 | Dr. Scott Rosenthal, P.C. | Pain Medicine | 48 Tunnel Rd Ste 202, Pottsville, PA 17901 | 2017-02-22 |
| 1932573268 | Allied Health Care Services | Community/Behavioral Health | 320 N Second St, Pottsville, PA 17901 | 2015-11-24 |
| 1417344862 | Megan Heffron-foose | Behavioral Analyst | 221 Mahantongo Street, Pottsville, PA 17901 | 2015-04-23 |
| 1326443417 | Richard Adam Haycock | Psychiatry & Neurology | 16 South Centre St, Pottsville, PA 17901 | 2014-10-31 |
| 1245647296 | Maria Gustis | Counselor | 100 Greenbriar Road, Pottsville, PA 17901 | 2014-07-22 |
| 1790198398 | Michelle Chilinskas | Pharmacist | 500 N Claude Lord Blvd, Pottsville, PA 17901 | 2014-06-11 |
| 1952720153 | Darcie Nan Roeder | Physical Therapy Assistant | 700 E Norwegian St., Pottsville, PA 17901 | 2014-04-15 |
| 1205180858 | Rocky Mountain Holdings LLC | Ambulance | 1394 Cedar St, Pottsville, PA 17901 | 2012-11-05 |
| Find all providers in zip 17901 | ||||
| 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 |
|---|---|---|---|---|
| 1841249216 | Eric Alan Goldman | Emergency Medicine | 700 East Norwegian St, Pottsville, PA 17901-2798 | 2006-05-10 |
| 1194255273 | Priyanka Lauber | Emergency Medicine | 200 Schuylkill Medical Plz, Pottsville, PA 17901-3660 | 2017-06-12 |
| 1568990869 | Kathryn Brooke Bartlett | Emergency Medicine | 200 Schuylkill Medical Plz, Pottsville, PA 17901-3660 | 2017-05-31 |
| 1720516024 | John Daubert | Emergency Medicine | 200 Schuylkill Medical Plz, Pottsville, PA 17901 | 2017-05-31 |
| 1063940377 | Claire Paulson | Emergency Medicine | 200 Schuylkill Medical Plz, Pottsville, PA 17901 | 2017-05-31 |
| 1255869558 | Robert Aaron Gyory | Emergency Medicine | 200 Schuylkill Medical Plz, Pottsville, PA 17901 | 2017-05-31 |
| 1003357864 | Daniel Torrens | Emergency Medicine | 200 Schuylkill Medical Plz, Pottsville, PA 17901 | 2017-03-13 |
| 1609224716 | Amy Wier | Emergency Medicine | 200 Schuylkill Medical Plz, Pottsville, PA 17901 | 2016-05-31 |
| 1518315639 | Zachary Matuzsan | Emergency Medicine | 200 Schuylkill Medical Plz, Pottsville, PA 17901 | 2016-05-31 |
| 1194173310 | Smeet Bhimani | Emergency Medicine | 200 Schuylkill Medical Plz, Pottsville, PA 17901 | 2016-05-27 |
| Find all providers in POTTSVILLE | ||||
| City | POTTSVILLE |
| Zip Code | 17901 |
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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.