Benjamin D Blossom (NPI# 1477648087, PAC ID# 8820143811) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL CARDIOLOGY.
| Nation Provider ID (NPI) | 1477648087 |
| PAC ID by PECOS | 8820143811 |
| Professional Enrollment ID | I20090826000847 |
| Full Name | Benjamin D Blossom |
| Organization Legal Name | CARDIOLOGY ASSOCIATES OF NORTH MS PA |
| Address |
499 Gloster Creek Vlg Suite A2 Tupelo MS 38801-4749 |
| Phone Number | 6626206800 |
| Gender | M |
| Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | INTERVENTIONAL CARDIOLOGY |
| Secondary Specialties | CARDIOVASCULAR DISEASE (CARDIOLOGY), INTERNAL MEDICINE |
| Group Practice PAC ID | 4688648595 |
| Number of Group Practice Members | 22 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 250004 | NORTH MISSISSIPPI MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 499 Gloster Creek Vlg, Suite A2, Tupelo, MS 38801-4749 | 6626206800 | CARDIOLOGY ASSOCIATES OF NORTH MS PA |
| 830 S Gloster St, Tupelo, MS 38801-4934 | 6626206800 | CARDIOLOGY ASSOCIATES OF NORTH MS PA |
| 830 S Gloster St, Nmmc Ekg Interpretations, Tupelo, MS 38801-4934 | 6623773000 | NORTH MISSISSIPPI MEDICAL CENTER SERVICES LLC |
| Organization Legal Name | CARDIOLOGY ASSOCIATES OF NORTH MS PA |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wanda A Ikeda | Nurse Practitioner | Cardiology Associates of North Ms Pa | 2892 S Lamar Blvd, Oxford, MS 38655-5347 |
| Michael Ted Boler Jr. | Cardiovascular Disease (cardiology) | Cardiology Associates of North Ms Pa | 499 Gloster Creek Vlg, Suite A2, Tupelo, MS 38801-4749 |
| Douglas L Hill | Cardiovascular Disease (cardiology) | Cardiology Associates of North Ms Pa | 499 Gloster Creek Vlg, Suite A2, Tupelo, MS 38801-4749 |
| Katherine B Mcduffie | Nurse Practitioner | Cardiology Associates of North Ms Pa | 499 Gloster Creek Vlg, Suite A2, Tupelo, MS 38801-4749 |
| Lauren C Holliman | Nurse Practitioner | Cardiology Associates of North Ms Pa | 499 Gloster Creek Vlg, Suite A2, Tupelo, MS 38801-4749 |
| Christopher M Bell | Nurse Practitioner | Cardiology Associates of North Ms Pa | 499 Gloster Creek Vlg, Suite A2, Tupelo, MS 38801-4749 |
| Amit K Gupta | Interventional Cardiology | Cardiology Associates of North Ms Pa | 2892 S Lamar Blvd, Oxford, MS 38655-5347 |
| Barry D Bertolet | Interventional Cardiology | Cardiology Associates of North Ms Pa | 499 Gloster Creek Vlg, Suite A2, Tupelo, MS 38801-4749 |
| Richard Dane Ballard | Interventional Cardiology | Cardiology Associates of North Ms Pa | 499 Gloster Creek Vlg, Suite A2, Tupelo, MS 38801-4749 |
| Janet B Richey | Nurse Practitioner | Cardiology Associates of North Ms Pa | 499 Gloster Creek Vlg, Suite A2, Tupelo, MS 38801-4749 |
| Street Address |
499 GLOSTER CREEK VLG SUITE A2 |
| City | TUPELO |
| State | MS |
| Zip | 38801-4749 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jon T Posey | Urology | Urology Professional Assoc | 499 Gloster Creek Vlg, Suite A1, Tupelo, MS 38801-4749 |
| Michael Ted Boler Jr. | Cardiovascular Disease (cardiology) | Cardiology Associates of North Ms Pa | 499 Gloster Creek Vlg, Suite A2, Tupelo, MS 38801-4749 |
| Colby Blake Ponder | Nurse Practitioner | Northeast Mental Health-mental Retardation Commission | 499 Gloster Creek Vlg, Suite A 3, Tupelo, MS 38801-4600 |
| Eric Lewis | Orthopedic Surgery | Orthopaedic Institute of North Mississippi, LLC | 499 Gloster Creek Vlg, Suite G1, Tupelo, MS 38801-4751 |
| Douglas L Hill | Cardiovascular Disease (cardiology) | Cardiology Associates of North Ms Pa | 499 Gloster Creek Vlg, Suite A2, Tupelo, MS 38801-4749 |
| Robert C Buckley | Plastic and Reconstructive Surgery | 499 Gloster Creek Vlg, Suite D4, Tupelo, MS 38801-4711 | |
| Katherine B Mcduffie | Nurse Practitioner | Cardiology Associates of North Ms Pa | 499 Gloster Creek Vlg, Suite A2, Tupelo, MS 38801-4749 |
| Jonathan R Kalish | Urology | Urology Professional Assoc | 499 Gloster Creek Vlg, Suite A1, Tupelo, MS 38801-4749 |
| Lauren C Holliman | Nurse Practitioner | Cardiology Associates of North Ms Pa | 499 Gloster Creek Vlg, Suite A2, Tupelo, MS 38801-4749 |
| Christopher M Bell | Nurse Practitioner | Cardiology Associates of North Ms Pa | 499 Gloster Creek Vlg, Suite A2, Tupelo, MS 38801-4749 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas Porter Anderson | Physician Assistant | 1514 Cr, 41 Magnolia Manor At Tupelo, Tupelo, MS 38801 | |
| Sylvia Blanchard | Nurse Practitioner | 109 Parkgate, Tupelo, MS 38801 | |
| Lloyd Perry Britt Jr. | Optometry | 2270 W Main, Suite A, Tupelo, MS 38801-3144 | |
| Katie Elizabeth Richardson | Optometry | 2005 W Main St, Suite 102, Tupelo, MS 38801-3214 | |
| Rickey H Bullard | Podiatry | 1902 W Main St, Tupelo, MS 38801-3228 | |
| Chika Uchechukwu Iwueke | Psychiatry | 1601 W Main St, Suite D, Tupelo, MS 38801-3300 | |
| James Byron Shipp | Ophthalmology | 1413 W Main St, Tupelo, MS 38801-3400 | |
| Michelle M Hill | Qualified Speech Language Pathologist | Ear, Nose and Throat Physicians of North Miss., P.a | 323 N Gloster St, Tupelo, MS 38801-3623 |
| Janet H Smith | Physical Therapy | Ear, Nose and Throat Physicians of North Miss., P.a | 323 N Gloster St, Tupelo, MS 38801-3623 |
| Lee A Stewart | Physical Therapy | Ear, Nose and Throat Physicians of North Miss., P.a | 323 N Gloster St, Tupelo, MS 38801-3623 |
| Find all physicians in zip 38801 | |||
| City | TUPELO |
| Zip Code | 38801 |
| Specialty | INTERVENTIONAL CARDIOLOGY |
| City + Specialty | TUPELO + INTERVENTIONAL CARDIOLOGY |
Please comment or provide details below to improve the information on Benjamin D Blossom.
| 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.