Active NPI
Steven P. Bloom, M.D.
- Pediatrics Physician
- Haverhill, MA
National Provider Identifier
1013919125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 41016
- Practice address
- 1 Parkway
Haverhill, MA 01830-6278 - Phone
- (978) 521-3230
- Fax
- (978) 521-3256
- NPI assigned
- Jun 2, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 41016 | MA | Primary |
Addresses
Primary practice location
1 Parkway
Haverhill, MA 01830-6278
Mailing address
1 Parkway
Haverhill, MA 01830-6278
Phone (978) 521-3230
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 678813 | Other | HEALTHSOURCE | |
| 0016274 | Other | NEIGHBORHOOD HEALTH PLAN | |
| 041016 | Other | MA | TUFTS HEALTH PLAN |
| 1013919125 | Other | AETNA - HMO | |
| 4410659 | Other | AETNA - NON-HMO | |
| 7566249 | Other | CIGNA | |
| B52008 | Other | MA | BLUE CROSS BLUE SHIELD |
| 110037321A | Medicaid | MA | |
| 980216 | Other | NETWORK HEALTH | |
| 99904825 | Other | NH | NEW HAMPSHIRE MEDICAID |
| B52008 | Other | MA | HARVARD PILGRIM HEALTHCAR |
| E03016 | Other | NH | ANTHEM BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1306368000000",
"number": "1013919125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PARKWAY",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018306278",
"telephone_number": "978-521-3230",
"fax_number": "978-521-3256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 PARKWAY",
"city": "HAVERHILL",
"state": "MA",
"postal_code": "018306278",
"telephone_number": "978-521-3230",
"fax_number": "978-521-3256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOOM",
"first_name": "STEVEN",
"middle_name": "P.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-02",
"last_updated": "2011-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "41016",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHSOURCE",
"identifier": "678813",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0016274",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "041016",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA - HMO",
"identifier": "1013919125",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA - NON-HMO",
"identifier": "4410659",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7566249",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "B52008",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110037321A",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "980216",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEW HAMPSHIRE MEDICAID",
"identifier": "99904825",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM HEALTHCAR",
"identifier": "B52008",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS",
"identifier": "E03016",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Haverhill, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.