Paul Henry Blom (NPI# 1184601908, PAC ID# 6103817796) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL RADIOLOGY.
| Nation Provider ID (NPI) | 1184601908 |
| PAC ID by PECOS | 6103817796 |
| Professional Enrollment ID | I20040521000713 |
| Full Name | Paul Henry Blom |
| Organization Legal Name | RADIOLOGY INC |
| Address |
20 Hospital Dr Logan WV 25601-3452 |
| Phone Number | 3018311200 |
| Gender | M |
| Credential | MD |
| Medical School | MEDICAL COLLEGE OF GEORGIA |
| Graduation Year | 1994 |
| Primary Specialty | INTERVENTIONAL RADIOLOGY |
| Secondary Specialties | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 2365340429 |
| Number of Group Practice Members | 29 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 510007 | ST MARY'S MEDICAL CENTER |
| 510055 | CABELL HUNTINGTON HOSPITAL INC |
| 510048 | LOGAN REGIONAL MEDICAL CENTER |
| 180005 | HIGHLANDS REGIONAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2900 1st Ave, Huntington, WV 25702-1241 | 3045261140 | RADIOLOGY INC |
| 5221 Us Route 60 E, Huntington, WV 25705-2022 | 3045221550 | RADIOLOGY INC |
| 20 Hospital Dr, Logan, WV 25601-3452 | 3018311200 | RADIOLOGY INC |
| 2483 Hwy 644, Louisa, KY 41230-9242 | 6066381507 | RADIOLOGY INC |
| 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 | 7408869911 | RADIOLOGY INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_076_overall | Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections | 13% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 90% | |
| MIPS_EC_195_overall | Radiology: Stenosis Measurement in Carotid Imaging Reports | 46% | |
| MIPS_EC_436_overall | Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques | 100% |
| Organization Legal Name | RADIOLOGY INC |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Holley Elizabeth Donahue | Nurse Practitioner | Radiology Inc | 5221 Us Route 60 E, Huntington, WV 25705-2022 |
| Joshua Dale Gibson | Diagnostic Radiology | Radiology Inc | 2483 Hwy 644, Louisa, KY 41230-9242 |
| Torin Patrick Walters | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
| Joseph Werner Dransfeld | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
| Hans Gerhard Dransfeld | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
| Jason G Fikes | Physician Assistant | Radiology Inc | 20 Hospital Dr, Logan, WV 25601-3452 |
| Grant Petty | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
| Nathan Randall Hatfield | Interventional Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
| Marsha S Anderson | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
| Ricky Jack Compton | Diagnostic Radiology | Radiology Inc | 5897 State Rt 7 Three Gable Surgi Ctr, Proctorville, OH 45669 |
| Street Address |
20 HOSPITAL DR |
| City | LOGAN |
| State | WV |
| Zip | 25601-3452 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Prabhat K Sinha | Family Medicine | 20 Hospital Dr, Suite 3, Toms River, NJ 08755-6434 | |
| Nilay Nirdosh | Hospitalist | Apogee Medical Group, West Virginia, Pllc | 20 Hospital Dr, Logan, WV 25601-3452 |
| Chad E Baisden | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcare of West Virginia Inc | 20 Hospital Dr, Logan, WV 25601-3452 |
| Anoop Porwal | Physical Medicine and Rehabilitation | 20 Hospital Dr, 17a, Toms River, NJ 08755-6434 | |
| Robert M Austin | Emergency Medicine | Health Care Alliance, Inc. | 20 Hospital Dr, Logan, WV 25601-3452 |
| Anita L Hergert | Nurse Practitioner | Ocean Family and Geriatric Associates LLC | 20 Hospital Dr, Suite 3, Toms River, NJ 08755-6434 |
| Robert Eguares Perez | Internal Medicine | Logan General Hospital LLC | 20 Hospital Dr, Logan, WV 25601-3452 |
| Parag V Patel | Cardiovascular Disease (cardiology) | Nj Heart Institute, Pa | 20 Hospital Dr, 12b, Toms River, NJ 08755-6434 |
| Said Hajouli | Hospitalist | Apogee Medical Group, West Virginia, Pllc | 20 Hospital Dr, Logan, WV 25601-3452 |
| James C Paugh Ii | General Surgery | Logan General Hospital LLC | 20 Hospital Dr, Logan, WV 25601-3452 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ahmad B Faridi | Internal Medicine | Southern West Virginia Nephrology Associates | 300 Prosperity Dr, Suite 203, Logan, WV 25601-0300 |
| Melissa Kitchen | Nurse Practitioner | Southern West Virginia Nephrology Associates | 300 Prosperity Dr, Suite 203, Logan, WV 25601-0300 |
| Karunasree Kanuri | Family Medicine | 1115 2nd Ave, West Logan, WV 25601-3309 | |
| Amber M Ellis | Nurse Practitioner | Living Waters Medical Center | 100 Main Ave, Logan, WV 25601-3323 |
| Jamie L Hall-jasper | Podiatry | 100 Main Ave, Logan, WV 25601-3323 | |
| Douglas K Hibbs | Physical Therapy | 364 Riverview Ave, Logan, WV 25601-3428 | |
| Jennifer Marie Oneal | Physical Therapy | 364 Riverview Ave, Logan, WV 25601-3428 | |
| Emad Y Mousa | Obstetrics/gynecology | 77 Hospital Dr, Suite 200, Logan, WV 25601-3451 | |
| Zial Salem | Gastroenterology | Logan General Hospital LLC | 79 Hospital Dr, Logan, WV 25601-3451 |
| Michael B Beres | Ophthalmology | 77 Hospital Dr, Suite 401, Logan, WV 25601-3451 | |
| Find all physicians in zip 25601 | |||
| City | LOGAN |
| Zip Code | 25601 |
| Specialty | INTERVENTIONAL RADIOLOGY |
| City + Specialty | LOGAN + INTERVENTIONAL RADIOLOGY |
Please comment or provide details below to improve the information on Paul Henry Blom.
| 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.