Kim Blumberg (NPI# 1053380964, PAC ID# 3870647282) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ANESTHESIOLOGY.
| Nation Provider ID (NPI) | 1053380964 |
| PAC ID by PECOS | 3870647282 |
| Professional Enrollment ID | I20110606000000 |
| Full Name | Kim Blumberg |
| Organization Legal Name | PROVIDENCE ANESTHESIOLOGY ASSOCIATES PA |
| Address |
200 Hawthorne Ln Charlotte NC 28204-2515 |
| Phone Number | 7043844000 |
| Gender | F |
| Medical School | UNIVERSITY OF TEXAS MEDICAL BRANCH AT GALVESTON |
| Graduation Year | 2002 |
| Primary Specialty | ANESTHESIOLOGY |
| Group Practice PAC ID | 3971566761 |
| Number of Group Practice Members | 115 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340053 | NOVANT HEALTH PRESBYTERIAN MEDICAL CENTER |
| 340183 | NOVANT HEALTH HUNTERSVILLE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 200 Hawthorne Ln, Charlotte, NC 28204-2515 | 7043844000 | PROVIDENCE ANESTHESIOLOGY ASSOCIATES PA |
| Organization Legal Name | PROVIDENCE ANESTHESIOLOGY ASSOCIATES PA |
| Physicians | 113 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ethan James Hazelrigs | Certified Registered Nurse Anesthetist (crna) | Providence Anesthesiology Associates Pa | 2536 Lengers Way, Fort Mill, SC 29707-7126 |
| Ann Thimsen Pflugrath | Anesthesiology | Providence Anesthesiology Associates Pa | 209 E Carver St, Durham, NC 27704-2133 |
| Adelle R Anthony Williams | Anesthesiology | Providence Anesthesiology Associates Pa | 1819 Lyndhurst Ave, Charlotte, NC 28203-5103 |
| Michael J Mcnelis | Anesthesiology | Providence Anesthesiology Associates Pa | 10030 Gilead Rd, Huntersville, NC 28078-7545 |
| Mark M Vogelhut | Anesthesiology | Providence Anesthesiology Associates Pa | 200 Providence Rd, Charlotte, NC 28207-1437 |
| Bruce J Denenny | Anesthesiology | Providence Anesthesiology Associates Pa | 1720 Davie Ave, Statesville, NC 28677-3522 |
| Ted Vance | Anesthesiology | Providence Anesthesiology Associates Pa | 131 Providence Rd, Charlotte, NC 28207-1235 |
| Freeman R Jackson Jr. | Anesthesiology | Providence Anesthesiology Associates Pa | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Steven T Hobgood | Anesthesiology | Providence Anesthesiology Associates Pa | 2460 Curtis Ellis Dr, Rocky Mount, NC 27804-2237 |
| Courtney Ann Castoro | Anesthesiology | Providence Anesthesiology Associates Pa | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Street Address |
200 HAWTHORNE LN |
| City | CHARLOTTE |
| State | NC |
| Zip | 28204-2515 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shelda Amilcka | Physician Assistant | Novant Medical Group Inc | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Curtis L Flood | Obstetrics/gynecology | Novant Medical Group Inc | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Freeman R Jackson Jr. | Anesthesiology | Providence Anesthesiology Associates Pa | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Stephen M Yeh | Emergency Medicine | Mid Atlantic Emergency Medical Associates Pllc | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Courtney Ann Castoro | Anesthesiology | Providence Anesthesiology Associates Pa | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Bridgette A Cooke | Physician Assistant | Novant Medical Group Inc | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Sarah M Wells | Physician Assistant | The Presbyterian Hospital | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Heather John H Montero | Family Medicine | Novant Medical Group Inc | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Melissa L Patel | Certified Registered Nurse Anesthetist (crna) | The Presbyterian Hospital | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Amanda Meade Derby | Certified Registered Nurse Anesthetist (crna) | The Presbyterian Hospital | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy Beth Ingebretson | Occupational Therapy | Metrolina Association for The Blind | 704 Louise Ave, Charlotte, NC 28204-2128 |
| Lauren Rose Hoffman | Optometry | Metrolina Association for The Blind | 704 Louise Ave, Charlotte, NC 28204-2128 |
| Lisa A Seropian | Clinical Psychologist | Lisa A. Seropian, Psy.d., P.a. | 1001 Elizabeth Ave, Suite 1b, Charlotte, NC 28204-2234 |
| Nedra G Tawwab | Clinical Social Worker | 904 E 8th St, Charlotte, NC 28204-2360 | |
| Lisa Folden | Physical Therapy | 904 E 8th St, Charlotte, NC 28204-2390 | |
| Laura H Frohboese | Clinical Social Worker | 360 N Caswell Rd, Charlotte, NC 28204-2404 | |
| Christen J Fisher | Emergency Medicine | Hospice and Palliative Care Charlotte Region | 1420 E 7th St, Charlotte, NC 28204-2408 |
| Janet U Crook | Family Practice | Hospice and Palliative Care Charlotte Region | 1420 E 7th St, Charlotte, NC 28204-2408 |
| Lesly A Bowers | Nurse Practitioner | Hospice and Palliative Care Charlotte Region | 1420 E 7th St, Charlotte, NC 28204-2408 |
| Catherine Kelley Carnes | Emergency Medicine | Hospice and Palliative Care Charlotte Region | 1420 E 7th St, Charlotte, NC 28204-2408 |
| Find all physicians in zip 28204 | |||
| City | CHARLOTTE |
| Zip Code | 28204 |
| Specialty | ANESTHESIOLOGY |
| City + Specialty | CHARLOTTE + ANESTHESIOLOGY |
Please comment or provide details below to improve the information on Kim Blumberg.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.