DR. CARLI JO BLOMQUIST (NPI# 1831417278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831417278 |
| Entity Type | Individual |
| Full Name | DR. CARLI JO BLOMQUIST |
| Credential | MD. |
| Practice Address |
201 Hospital Road Northside Hospital - Cherokee Canton GA 30114 |
| Mailing Address |
Po Box 421309 Atlanta GA 30342 |
| Practice Telephone | 7707205100 |
| Mailing Telephone | 4045800845 |
| Enumeration Date | 2010-05-10 |
| Last Update Date | 2017-01-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 69378 | GA | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 069378 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
201 HOSPITAL ROAD NORTHSIDE HOSPITAL - CHEROKEE |
| City | CANTON |
| State | GA |
| Zip Code | 30114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619516093 | Wickshire Canton Opco LLC | Assisted Living Facility | 125 Riverstone Terrace, Canton, GA 30114 | 2020-01-02 |
| 1154803583 | Alixandra Nicole Flournoy | Physical Therapist | 131 Holly Street, Canton, GA 30114 | 2018-09-01 |
| 1588157341 | Provident Group - Canton Cove Properties LLC | Alzheimer Center (Dementia Center) | 1100 Reinhardt College Parkway, Canton, GA 30114 | 2018-06-07 |
| 1003233107 | Heartland Dental Care of Georgia | Dentist | 3237 Sixes Rd, Canton, GA 30114 | 2014-03-26 |
| 1730510959 | Joseph Optical | Eyewear Supplier (Equipment, not the service) | 1455 Riverstone Pkwy Suite 110, Canton, GA 30114 | 2013-12-13 |
| 1629313036 | Ramona Morton Rasmussen | Occupational Therapist | 200 Riverstone Drive, Suite B, Canton, GA 30114 | 2012-12-11 |
| 1902154875 | Yong Qiao Luo | Acupuncturist | 200 Oakside Lane, Suite D, Canton, GA 30114 | 2012-08-26 |
| 1215294350 | Christina Lynn Hernandez | Pediatrics | 1558 Riverstone Pkwy Ste 100, Canton, GA 30114 | 2012-04-13 |
| 1558638981 | Stephen E Byrd | Counselor | 191 Lamar Haley Pkwy., Canton, GA 30114 | 2011-11-30 |
| 1073807855 | Sheri Sullins Buckley | Nurse Practitioner | 120 Oakside Ct Ste H, Canton, GA 30114 | 2011-06-08 |
| Find all providers in zip 30114 | ||||
| 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 |
|---|---|---|---|---|
| 1841481314 | Randy Guy Allison | Emergency Medicine | 1920 34th St Nw, Canton, OH 44709-2731 | 2007-08-08 |
| 1760529523 | Ruchir K. Khurana | Emergency Medicine | 551 Riverstone Pkwy, Suite 100, Canton, GA 30114-5292 | 2007-01-31 |
| 1558372086 | Gregory Healey | Emergency Medicine | 25 Park St, Canton, NY 13617-1265 | 2006-08-10 |
| 1750399655 | Martha J Shadel | Emergency Medicine | 7300 Canton Center Dr, (emergency Dept), Canton, MI 48187-1579 | 2006-08-04 |
| 1578594057 | Allen Randle Beecham | Emergency Medicine | 2000 Village Professional Dr, Suite 200, Canton, GA 30114-8498 | 2006-07-05 |
| 1043270663 | Dwayne Bernard | Emergency Medicine | 500 Westwood Blvd, Canton, IL 61520-9532 | 2006-03-27 |
| 1619943743 | Dean W Varian | Emergency Medicine | 2725 Lincoln St. E, Canton, OH 44707 | 2006-02-28 |
| 1720067606 | David Weaver | Emergency Medicine | 7300 N Canton Center Rd, Emergency Medicine Department, Canton, MI 48187-1579 | 2006-01-10 |
| 1043298136 | Chada Natalie Reddy | Emergency Medicine | 7300 Canton Center Road, Emergency Medicine Department, Canton, MI 48187-1579 | 2006-01-09 |
| 1396729786 | Daniel Arthur Muse | Emergency Medicine | 10 Nathaniel Way, Canton, MA 02021-3852 | 2005-11-30 |
| Find all providers in CANTON | ||||
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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.