BLOOM HEALTHCARE (NPI# 1982175311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982175311 |
| Entity Type | Organization |
| Organization Name | BLOOM HEALTHCARE |
| Practice Address |
10900 W 44th Ave Unit 200 Wheat Ridge CO 80033-2742 |
| Practice Telephone | 3039931330 |
| Mailing Telephone | 3039931330 |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2019-11-27 |
| Authorized Official Name | DEBRA K WADELTON (REVENUE CYCLE MANAGER) |
| Authorized Official Telephone | 3039931330 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033680400 | Bloom Healthcare | Internal Medicine | 954 Sedgefield Ct, Maineville, OH 45039-7513 | 2018-12-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Bloom Healthcare, Inc. | 10900 W. 44th Ave., Suite #200, Wheat Ridge, CO 80033 |
| Street Address |
10900 W 44TH AVE UNIT 200 |
| City | WHEAT RIDGE |
| State | CO |
| Zip Code | 80033-2742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417953662 | Danee Suzanne Young | Obstetrics & Gynecology | 10900 W 44th Ave Unit 200, Wheat Ridge, CO 80033-2742 | 2005-06-22 |
| 1104434935 | Kyle William Mueller | Nurse Practitioner | 10900 W 44th Ave Unit 200, Wheat Ridge, CO 80033-2742 | 2020-07-17 |
| 1902429939 | Alison Shea Selcer | Physician Assistant | 10900 W 44th Ave Unit 200, Wheat Ridge, CO 80033-2742 | 2020-05-26 |
| 1396371944 | Christi Burks | Nurse Practitioner | 10900 W 44th Ave Unit 200, Wheat Ridge, CO 80033-2742 | 2020-03-16 |
| 1326686908 | Dana Marie Haines | Nurse Practitioner | 10900 W 44th Ave Unit 200, Wheat Ridge, CO 80033-2742 | 2019-12-14 |
| 1508410028 | Nicole M Asher | Nurse Practitioner | 10900 W 44th Ave Unit 200, Wheat Ridge, CO 80033-2742 | 2019-08-01 |
| 1255991048 | Daniela T Bowers | Nurse Practitioner | 10900 W 44th Ave Unit 200, Wheat Ridge, CO 80033-2742 | 2019-06-14 |
| 1336707868 | Amy M Dvorak | Registered Nurse | 10900 W 44th Ave Unit 200, Wheat Ridge, CO 80033-2742 | 2019-05-30 |
| 1093273591 | Kayleigh Ann Engen | Physician Assistant | 10900 W 44th Ave Unit 200, Wheat Ridge, CO 80033-2742 | 2019-03-04 |
| 1023586468 | Emily Clare Kubovic | Nurse Practitioner | 10900 W 44th Ave Unit 200, Wheat Ridge, CO 80033-2742 | 2018-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154893915 | Bronwyn Hockersmith | Counselor | 3954 Yosemite St, Wheat Ridge, CO 80033 | 2018-12-18 |
| 1902392004 | Thousand Peaks Healthcare, Inc. | In Home Supportive Care | 4891 Independence St Ste 285, Wheat Ridge, CO 80033 | 2018-07-02 |
| 1528586120 | Front Range Family Resource Center | Marriage & Family Therapist | 5181 Ward St Ste 201, Wheat Ridge, CO 80033 | 2017-09-03 |
| 1962920918 | Dianna Lee Cordero | Counselor | 4931 Garrison St., Apt 104, Wheat Ridge, CO 80033 | 2017-08-30 |
| 1396261525 | Lauren Faye Petasne | Nurse Practitioner | 7100 W 44th Ave Ste 101a, Wheat Ridge, CO 80033 | 2017-08-18 |
| 1558802421 | Elizabeth Ann Huddleston | Nurse Practitioner | 3400 N Lutheran Pkwy, Wheat Ridge, CO 80033 | 2017-03-13 |
| 1053777045 | Richard Kerry Brandow | Counselor | 16625 W 50th Ave., Golden, CO 80033 | 2016-01-07 |
| 1831562131 | Eternal Life Care Centers, LLC | Assisted Living Facility | 4370 Ingalls Street, Wheat Ridge, CO 80033 | 2015-11-09 |
| 1740663483 | Real Care, Inc. | Private Vehicle | 10200 West 44th Ave, Suite 200, Wheat Ridge, CO 80033 | 2015-06-30 |
| 1508254848 | Pamela June Weitzel | Midwife | 3555 Lutheran Parkway Suite 210, Wheat Ridge, CO 80033 | 2015-01-08 |
| Find all providers in zip 80033 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326277914 | Maureen Cecile Daly | Internal Medicine | 3620 Otis St, Wheat Ridge, CO 80033-6451 | 2009-07-06 |
| 1003071994 | Munira Dabhiya | Internal Medicine | 4350 Wadsworth Blvd Ste 201, Wheat Ridge, CO 80033-4634 | 2008-07-21 |
| 1336202712 | Maurice A Archuleta | Internal Medicine | 6301 W 38th Ave, Wheat Ridge, CO 80033-5057 | 2006-12-18 |
| 1255423513 | Allan W Carlin | Internal Medicine | 11421 W 39th Pl, Wheat Ridge, CO 80033-3805 | 2006-09-28 |
| 1326086950 | Matthew J Szvetecz | Internal Medicine | 3775 Chase St, Wheat Ridge, CO 80212 | 2006-06-04 |
| 1972570554 | Robert C Mcclay | Internal Medicine | 10900 W 44th Ave, Wheat Ridge, CO 80033-2761 | 2006-03-02 |
| 1972504314 | Geoffery W.p. Clover | Internal Medicine | 3885 Upham St, Suite 200, Wheat Ridge, CO 80033-4880 | 2005-08-09 |
| 1962409318 | Debra A Friesen | Internal Medicine | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2005-06-30 |
| 1720511892 | James Welle | Internal Medicine | 4803 Ward Rd, Wheat Ridge, CO 80033-1902 | 2017-04-06 |
| 1497140743 | Kerry Clarke | Internal Medicine | 8300 W 38th Ave, Wheat Ridge, CO 80033-6005 | 2015-04-03 |
| Find all providers in WHEAT RIDGE | ||||
| City | WHEAT RIDGE |
| Zip Code | 80033 |
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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.