DR. STEPHEN C BLOOM (NPI# 1912940412) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912940412 |
| Entity Type | Individual |
| Full Name | DR. STEPHEN C BLOOM |
| Credential | D.O. |
| Practice Address |
5333 Mcauley Drive Suite 2009 Ypsilanti MI 48197-1014 |
| Practice Telephone | 7347120050 |
| Practice Fax Number | 7347120055 |
| Mailing Telephone | 7347120050 |
| Mailing Fax Number | 7347120055 |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2020-07-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 5101011059 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 3086170 | 05 | |
| MI | STATE LICENSE | SB011059 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801979265 | Stephen M. Bloom | Radiology | 800 Washington St, Nemc Box 7105, Boston, MA 02111-1552 | 2006-10-21 |
| 1164441853 | Stephen E Bloom | Dentist | 850 Brainard Rd, Highland Heights, OH 44143-3146 | 2006-07-19 |
| 1245269695 | Stephen Leonard Bloom | Obstetrics & Gynecology | 400 E 3rd St, Duluth, MN 55805-1951 | 2006-06-30 |
| 1972552552 | Stephen A Bloom | Internal Medicine | 5701 W 119th St, Suite 430, Overland Park, KS 66209-3722 | 2006-05-09 |
| Street Address |
5333 MCAULEY DRIVE SUITE 2009 |
| City | YPSILANTI |
| State | MI |
| Zip Code | 48197-1014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093705170 | David Paul Steinberg | Physical Medicine & Rehabilitation | 5333 Mcauley Drive, Suite 2009, Ypsilanti, MI 48197-1014 | 2005-10-28 |
| 1225640162 | Nima Mohamoud Abdi | Internal Medicine | 5333 Mcauley Drive, Suite 4001, Ypsilanti, MI 48197 | 2020-08-21 |
| 1619593860 | Salar Daud | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 4001, Ypsilanti, MI 48197-8633 | 2020-06-23 |
| 1871116202 | Elliot Michael Berinstein | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 4001, Ypsilanti, MI 48197-8633 | 2020-05-20 |
| 1871112128 | Jessica Montgomery | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 2110, Ypsilanti, MI 48197-8633 | 2020-04-15 |
| 1225666373 | Veena Janardan | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 4001, Ypsilanti, MI 48197 | 2020-04-01 |
| 1427686807 | Grace Elizabeth Chen | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 2110, Ypsilanti, MI 48197-8633 | 2020-03-31 |
| 1659909380 | Ann Saliares | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 4001, Ypsilanti, MI 48197-8633 | 2020-03-30 |
| 1033747688 | Tori Nicole Diedring | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 4001, Ypsilanti, MI 48197 | 2020-03-30 |
| 1306307970 | Karina Andrea Pone | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive, Suite 2110, Ypsilanti, MI 48197 | 2019-03-27 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700423092 | Devika Dibya Choudhuri | Counselor | 135 Porter West Circle Drive, Ypsilanti, MI 48197 | 2019-12-05 |
| 1770128837 | Brian Lee Shue | Registered Nurse | 6277 Maplehurst Dr, Ypsilanti, MI 48197 | 2019-11-13 |
| 1639721566 | Darlene E Bellers | 845 W. Circle Dr, Suite 160, Ypsilanti, MI 48197 | 2019-07-11 | |
| 1073165874 | Eastern Michigan University | Dietitian, Registered | Suite 160 Rackham, Ypsilanti, MI 48197 | 2019-07-11 |
| 1447815469 | Rainbow Rehabilitation Centers, Inc. | Community Based Residential Treatment Facility, Mental Illness | 6200 Textile Rd, Ypsilanti, MI 48197 | 2019-05-06 |
| 1417416298 | Justin Brewer | Student in an Organized Health Care Education/Training Program | 5333 Mcauley Drive Suite 2115, Ypsilanti, MI 48197 | 2019-03-19 |
| 1124519780 | Great Lakes Mindfulness LLC | Community/Behavioral Health | 4007 Carpenter Rd # 280, Ypsilanti, MI 48197 | 2018-05-19 |
| 1841799715 | Bedside Angel's Home Care, LLC | Home Health | 2032 S. Congress Street, Ypsilanti, MI 48197 | 2018-02-06 |
| 1891211777 | Brandon James Kukal | Specialist/Technologist | 799 N Hewitt, Ypslinati, MI 48197 | 2017-08-22 |
| 1669908737 | Michael Bekkerman | Student in an Organized Health Care Education/Training Program | 5303 Elliot Drive, Cancer Center, Ypsilanti, MI 48197 | 2017-05-10 |
| Find all providers in zip 48197 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093705170 | David Paul Steinberg | Physical Medicine & Rehabilitation | 5333 Mcauley Drive, Suite 2009, Ypsilanti, MI 48197-1014 | 2005-10-28 |
| 1790258200 | Ann Pattock | Physical Medicine & Rehabilitation | 5333 Mcauley Dr Rm 2009, Ypsilanti, MI 48197-1095 | 2019-01-08 |
| 1487146726 | Sarah Elizabeth Sena | Physical Medicine & Rehabilitation | 5301 E Huron River Dr, Ypsilanti, MI 48197-1051 | 2018-06-02 |
| 1780114389 | Holly Joanna-jones Pierson | Physical Medicine & Rehabilitation | 5333 Mcauley Dr., Ste 2009, Ypsilanti, MI 48197 | 2017-06-15 |
| 1679967129 | Carter Docking | Physical Medicine & Rehabilitation | 5333 Mcauley Drive, Suite 2009, Ypsilanti, MI 48197-1014 | 2015-03-23 |
| 1659791697 | Leah Lukasik | Physical Medicine & Rehabilitation | 5333 Mcauley Drive, Suite 4001, Ypsilanti, MI 48197-8633 | 2014-04-17 |
| 1255627022 | Mala Young | Physical Medicine & Rehabilitation | 5333 Mcauley Dr, Suite 2009, Ypsilanti, MI 48197-1014 | 2011-06-21 |
| 1164657870 | Ari Kriswari | Physical Medicine & Rehabilitation | 5333 Mcauley Drive, Suite 2009, Ypsilanti, MI 48197-1014 | 2009-05-26 |
| 1164686440 | Devon Newman Shuchman | Physical Medicine & Rehabilitation | 5333 Mcauley Dr, Suite 2009, Ypsilanti, MI 48197-1014 | 2008-07-15 |
| 1790721405 | Yushik Kim | Physical Medicine & Rehabilitation | 5333 Mcauley Dr, Suite R-4115, Ypsilanti, MI 48197-1014 | 2006-06-21 |
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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.