MR. JOHANNES BLOM


Address: 4136 Cadle Creek Rd, Edgewater, MD 21037-4529
Phone: 4107981127

MR. JOHANNES BLOM (NPI# 1750622361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750622361
Entity Type Individual
Full Name MR. JOHANNES BLOM
Credential MD
Practice Address 4136 Cadle Creek Rd
Edgewater
MD 21037-4529
Practice Telephone 4107981127
Practice Fax Number 4107981127
Mailing Telephone 4107981127
Mailing Fax Number 4107988197
Enumeration Date 2013-03-06
Last Update Date 2013-03-06
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RH0003X Internal Medicine
Specialization: Hematology & Oncology
MD022846E PA Allopathic & Osteopathic Physicians

Other Providers JOHANNES BLOM

NPI Name Taxonomy Address Enumeration
1285801639 Johannes Hendrik Blom Pharmacist 1500 Anna Sparks Way, Mckinleyville, CA 95519-4170 2008-05-14
1184654519 Johannes Victor Blom Orthopaedic Surgery 3702 Washington St, Suite 202, Hollywood, FL 33021-8282 2006-07-03

Office Location

Street Address 4136 CADLE CREEK RD
City EDGEWATER
State MD
Zip Code 21037-4529

Providers in the same zip code

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1821568486 Ashlee Christine Rodriguez Social Worker 2600 Solomons Island Rd., Edgewater, MD 21037 2018-11-27
1497220826 Charlotte Lanphear Physician Assistant 3168 Braverton St., #340, Edgewater, MD 21037 2018-10-12
1134600224 Fnu Leena Nathan Physical Therapist South River Health and Rehabilitation Center, 144 Washington Road, Edgewater, MD 21037 2018-08-27
1386163020 Collective Transformation Health Services Counselor 1642 Shady Side Dr., Edgewater, MD 21037 2017-09-13
1780933143 Derek Carroll Curran Chiropractor 137 Mitchells Chance Rd Ste 100, Edgewater, MD 21037 2012-08-31
1588936678 Mark Melanson Community Health Worker 144 Washington Street, Edgewater, MD 21037 2012-02-03
1467761643 Melvyn Paul Heyes Social Worker 1444 Shore Drive, Edgewater, MD 21037 2010-10-05
1538301486 Lori Bennett Physical Therapist 3179 Braverton Street, Suite 201, Edgewater, MD 21037 2009-03-24
1427278605 Patricia Ann Zwald Registered Nurse 140 Stepney Lane, Edgewater, MD 21037 2007-04-27
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Taxonomy Information

Taxonomy Code 207RH0003X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Hematology & Oncology

Taxonomy Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source]
- Additional Resources: http://www.osteopathic.org/certification

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194249565 Mohammed Ali Jaloudi Internal Medicine 104 Adams Ct, Edgewater, NJ 07020-1651 2017-07-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1558908749 Daniel Da Motta Girardi Internal Medicine National Institutes of Health (nih) Campus, Bethesda, MD 20892-0001 2019-12-06
1255894879 Rcca Md LLC Internal Medicine 9715 Medical Center Dr Ste 221, Rockville, MD 20850-6319 2019-04-10
1720573132 Mid-atlantic Oncology Hematology, LLC Internal Medicine 12210 Plum Orchard Dr Ste 211, Silver Spring, MD 20904-7913 2018-06-27
1417463951 Anne Arundel Physician Group, LLC Internal Medicine 183 Harry S Truman Pkwy Ste 120, Annapolis, MD 21401-7579 2017-12-20
1205371135 Giovanni Melillo Internal Medicine 2554 Bear Den Rd, Frederick, MD 21701-5230 2017-01-02
1598217473 Jong-hoon Lee Internal Medicine 10905 Lamplighter Ln, Potomac, MD 20854-2782 2016-10-26
1467800367 Rcca Md LLC Internal Medicine 18111 Prince Philip Dr Ste 327, Olney, MD 20832-1507 2016-06-01
1598179962 Ronald Gress Internal Medicine 10 Crc3 3330, Nih, Bethesda, MD 20892-0001 2014-06-13
1861827586 Timothy C Meeker Internal Medicine 11133 Post House Ct, Potomac, MD 20854-2535 2013-09-12
1275809246 Nora Rose Sudarsan Internal Medicine 305 Hospital Dr Fl 2, Glen Burnie, MD 21061-5805 2012-03-23
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Competitor

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City EDGEWATER
Zip Code 21037

Improve Information

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Dataset Information

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.

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