Carol A Blum, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

R7N02 Issued in MO

Practice address

1515 W Truman Rd
Suite 108
Independence, MO 64050-3436

Phone

(816) 461-3131

Fax

(816) 461-1662

NPI assigned

Jan 31, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Independence Anesthesia Inc

  • Anesthesiology Physician
  • Independence, MO
  • NPI 1841262094
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1013988674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 W TRUMAN RD",
            "address_2": "SUITE 108",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640503436",
            "telephone_number": "816-461-3131",
            "fax_number": "816-461-1662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 W TRUMAN RD",
            "address_2": "SUITE 108",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640503436",
            "telephone_number": "816-461-3131",
            "fax_number": "816-461-1662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "CAROL",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MO",
            "license": "R7N02",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202941944",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Blue Core Med Supplies LLC
• Blue Hills Rest Home Inc.
• Blue Ridge Physical Therapy, Inc
• Blue River Medical Group, LLC
• Bluebird Home Healthcare LLC
• Steven Wayne Blum Jr., D.D.S.
• Calie Boberg
• Mary Bode-Smith, MS, LPC
• Johnna L Bodenstab, ARNP
• Cassie Jorae Bollinger

• Anesthesiology Physician in Independence, MO
• Providers in Independence, MO by specialty
• Anesthesiology Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.