DR. MITCHELL BLOOM (NPI# 1811399850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811399850 |
| Entity Type | Individual |
| Full Name | DR. MITCHELL BLOOM |
| Credential | M.D. |
| Practice Address |
Oak Branch Drive Suite 7e Greensboro NC 27407-2380 |
| Practice Telephone | 3364057575 |
| Mailing Telephone | 3364057575 |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2016-10-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
38015 | NC | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467853408 | Mitchell Bloom | Dentist | 880 5th Ave, Suite 1-g, New York, NY 10021-4951 | 2014-09-09 |
| Street Address |
OAK BRANCH DRIVE SUITE 7E |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27407-2380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093326019 | Marie Louise Phillips | Behavior Technician | 111 Domona Dr, Unit 6, Greensboro, NC 27407 | 2020-08-13 |
| 1306472709 | Blondine Yvonne Wynn | Home Health Aide | 2812 Apt 2g Vanstory Street, Greesboro, NC 27407 | 2020-03-17 |
| 1104452994 | Monyetta Marie Howell | Counselor | 2216 W. Meadowview Road, Wilmington Bldg. Suite 207, Greensboro, NC 27407 | 2020-03-12 |
| 1215456769 | Tiffany R. Wright | Massage Therapist | 317 H South Westgate Drive, Greensboro, NC 27407 | 2017-09-15 |
| 1992225676 | Kendra Edwards | Social Worker | 1 Centerview Dr Ste 103, Greensboro, NC 27407 | 2017-06-22 |
| 1477902674 | Triad Integrative Wellness Center Inc | Acupuncturist | 315j South Westgate Dr, Greensboro, NC 27407 | 2016-06-08 |
| 1083098354 | Kathryn Theall | Counselor | 1901 Adams Farm Pkwy, Greensboro, NC 27407 | 2015-07-16 |
| 1962886333 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 5710-w West Gate City Blvd, Greensboro, NC 27407 | 2015-07-16 |
| 1619356177 | Lindsey King | Registered Nurse | 302 Pomona Drive, Greensboro, NC 27407 | 2015-05-29 |
| 1255737664 | M.a.p.p.s. | Clinic/Center | 2216 West Meadowview Road Ste 204, Greensboro, NC 27407 | 2014-11-12 |
| Find all providers in zip 27407 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619524097 | Novant Medical Group Inc | Physical Medicine & Rehabilitation | 3515 W Market St Ste 210, Greensboro, NC 27403-4442 | 2019-08-21 |
| 1366761793 | Performance Spine & Sports Specialists, Pa | Physical Medicine & Rehabilitation | 1507 Westover Ter Ste B, Suite A, Greensboro, NC 27408-7121 | 2010-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659836591 | Advanced Regenerative Care, Pllc | Physical Medicine & Rehabilitation | 504 C Red Banks Road, Greenville, NC 27858 | 2019-02-05 |
| 1992160659 | Carolina Sports and Spine | Physical Medicine & Rehabilitation | 1700 Forest Hills Rd W, Wilson, NC 27893-3411 | 2015-12-23 |
| 1881619005 | Fan Xi | Physical Medicine & Rehabilitation | 2800 Ashton Drive, Suite 100, Wilmington, NC 28412-2486 | 2006-07-12 |
| 1093753329 | Edward Anthony Overton | Physical Medicine & Rehabilitation | 10310 Mallard Creek Rd, Ste 101-c, Charlotte, NC 28262-9771 | 2006-06-02 |
| 1487632881 | Mark Allen Goodson | Physical Medicine & Rehabilitation | 114 Welton Way Ste A, Mooresville, NC 28117-9251 | 2006-01-05 |
| 1083696892 | Ronald Vandernoord | Physical Medicine & Rehabilitation | 710 Park Center Dr Ste 300, Matthews, NC 28105-5082 | 2005-11-17 |
| 1922095520 | Angelo Tellis | Physical Medicine & Rehabilitation | 2111 Neuse Blvd. Suite J, New Bern, NC 28560-4317 | 2005-09-29 |
| 1578569166 | Thomas Francis Florian | Physical Medicine & Rehabilitation | 4901 Dawn Dr, Suite 3300, Lumberton, NC 28360-8287 | 2005-06-28 |
| 1467006197 | Southeastern Medical, Pa | Physical Medicine & Rehabilitation | 830 Sunset Blvd N, Sunset Beach, NC 28468-4262 | 2019-07-31 |
| 1467955344 | Forsyth Memorial Hospital, Inc. | Physical Medicine & Rehabilitation | 5380 Us Highway 158 Ste 110, Advance, NC 27006-6974 | 2018-03-16 |
| Find all providers with the same taxonomy | ||||
| City | GREENSBORO |
| Zip Code | 27407 |
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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.