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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
MD022846E | PA | Allopathic & Osteopathic Physicians |
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 |
Street Address |
4136 CADLE CREEK RD |
City | EDGEWATER |
State | MD |
Zip Code | 21037-4529 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033757786 | Bh Brightview South River Opco, LLC | Alzheimer Center (Dementia Center) | 8 Lee Airpark Drive, Edgewater, MD 21037 | 2019-12-12 |
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 |
Find all providers in zip 21037 |
Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
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 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194249565 | Mohammed Ali Jaloudi | Internal Medicine | 104 Adams Ct, Edgewater, NJ 07020-1651 | 2017-07-27 |
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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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.