Johannes V Blom (NPI# 1184654519, PAC ID# 7012809536) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1184654519 |
| PAC ID by PECOS | 7012809536 |
| Professional Enrollment ID | I20060215000602 |
| Full Name | Johannes V Blom |
| Organization Legal Name | ORTHO FLORIDA, LLC |
| Address |
3600 Washington St Memorial South Hospital Hollywood FL 33021-8216 |
| Phone Number | 9549664500 |
| Gender | M |
| Credential | MD |
| Medical School | BOSTON UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1991 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 3274616453 |
| Number of Group Practice Members | 83 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100038 | MEMORIAL REGIONAL HOSPITAL |
| 100039 | BROWARD HEALTH MEDICAL CENTER |
| 100281 | MEMORIAL HOSPITAL WEST |
| Address | Phone | Organization |
|---|---|---|
| 660 Glades Rd, Suite 460, Boca Raton, FL 33431-6469 | 5613915515 | ORTHO FLORIDA, LLC |
| 3600 Washington St, Memorial South Hospital, Hollywood, FL 33021-8216 | 9549664500 | ORTHO FLORIDA, LLC |
| 3702 Washington St, Hollywood, FL 33021-8283 | 9549646114 | ORTHO FLORIDA, LLC |
| Organization Legal Name | ORTHO FLORIDA, LLC |
| Physicians | 89 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Carrie D Culpepper | Nurse Practitioner | Ortho Florida, LLC | 7301 Aw Palmetto Park Rd, 100b, Boca Raton, FL 33433-3435 |
| Elizabeth Moore | Nurse Practitioner | Ortho Florida, LLC | 670 Glades Rd, Suite 200, Boca Raton, FL 33431-6464 |
| William Munoz | Orthopedic Surgery | Ortho Florida, LLC | 660 Glades Rd, Suite 460, Boca Raton, FL 33431-6469 |
| Jorge Gonzalez | Internal Medicine | Ortho Florida, LLC | 5400 N Federal Hwy, Suite 102and103, Fort Lauderdale, FL 33308-3201 |
| Gene Jason Hunt | Orthopedic Surgery | Ortho Florida, LLC | 4450 E Fletcher Ave, Suite C, Tampa, FL 33613-4907 |
| Matthew Dzwonkiewicz | Physician Assistant | Ortho Florida, LLC | 6125 Sw 31st St, Miami, FL 33155-3003 |
| Matthew C. Mai | Orthopedic Surgery | Ortho Florida, LLC | 1040 Gulf Breeze Pkwy, Suite 200, Gulf Breeze, FL 32561-7808 |
| Michael Rosselli | Emergency Medicine | Ortho Florida, LLC | 4705 N Federal Hwy, Boca Raton, FL 33431-5135 |
| Alan S Routman | Orthopedic Surgery | Ortho Florida, LLC | 5601 N Dixie Hwy, Suite 210, Oakland Park, FL 33334-5144 |
| Kevin B Shrock | Orthopedic Surgery | Ortho Florida, LLC | 1414 Se 3 Ave, Fort Lauderdale, FL 33316-1910 |
| Street Address |
3600 WASHINGTON ST MEMORIAL SOUTH HOSPITAL |
| City | HOLLYWOOD |
| State | FL |
| Zip | 33021-8216 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Marian Rosado | Psychologist, Clinical | South Broward Hospital District | 3600 Washington St, Hollywood, FL 33021-8216 |
| Khadil K Hosein | Emergency Medicine | Inphynet South Broward LLC | 3600 Washington St, Memorial Regional Hospital South Campus, Hollywood, FL 33021-8216 |
| Laline Rivero | Anesthesiology | Sheridan Healthcorp Inc | 3600 Washington St, Hollywood, FL 33021-8216 |
| Amaury Aragon | Physician Assistant | Professional Surgical Services Pllc | 3600 Washington St, Memorial Regional Hospital S, Hollywood, FL 33021-8216 |
| Casey Dawson | Psychologist, Clinical | South Broward Hospital District | 3600 Washington St, Suite 2005, Hollywood, FL 33021-8216 |
| Theodore Koerner Iii | Certified Registered Nurse Anesthetist (crna) | Sheridan Healthcorp Inc | 3600 Washington St, Hollywood, FL 33021-8216 |
| David J Sacks | Anesthesiology | Sheridan Healthcorp Inc | 3600 Washington St, Hollywood, FL 33021-8216 |
| Timothy J Huber | Emergency Medicine | Inphynet South Broward LLC | 3600 Washington St, Memorial Regional Hospital South Campus, Hollywood, FL 33021-8216 |
| Jay D Williams | Physician Assistant | Professional Surgical Services Pllc | 3600 Washington St, Memorial Regional Hospital S, Hollywood, FL 33021-8216 |
| Joseph A Rodriguez | Family Medicine | 3600 Washington St, Memorial Regional South Hospital, Hollywood, FL 33021-8216 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dorrett Codner | Nurse Practitioner | South Broward Hospital District | 1150 N 35th St, Suite 205a, Hollywood, FL 33021 |
| Carmen Herrera | Nurse Practitioner | South Broward Hospital District | 3400 N 29th Ave, Hollywood, FL 33021-1002 |
| Sathi Ghosh | Psychiatry | South Broward Hospital District | 3400 N 29th Ave, Hollywood, FL 33021-1002 |
| Alan S Lane | Ophthalmology | 4000 Hollywood Blvd, 180n, Hollywood, FL 33021-1204 | |
| Jeffrey E Caplan | Plastic and Reconstructive Surgery | 4330 Sheridan St, Suite 102, Hollywood, FL 33021-1406 | |
| Edward S. Wagner | Obstetrics/gynecology | Vitalmd Group Holding LLC | 4330 Sheridan St, Suite 101, Hollywood, FL 33021-1408 |
| Ravikanth Chiravuri | Cardiovascular Disease (cardiology) | 5700 Stirling Rd, Suite 100, Hollywood, FL 33021-1522 | |
| Thomas D Rawson | Physician Assistant | Frank C Alario Md Pl | 5700 Stirling Rd, Suite 100, Hollywood, FL 33021-1522 |
| Michael L Newman | Optometry | 5700 Stirling Rd, Hollywood, FL 33021-1522 | |
| Blaine S Cameron | Anesthesiology | 5700 Stirling Rd, Hollywood, FL 33021-1522 | |
| Find all physicians in zip 33021 | |||
| City | HOLLYWOOD |
| Zip Code | 33021 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | HOLLYWOOD + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on Johannes V 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.