NPIMap

Individual provider Active NPI

Eric W Blomain, M.D.

  • Plastic Surgery Physician
  • Scranton, PA
National Provider Identifier
1093724510
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
MD017502E Issued in PA
Practice address
1222 Marion St
Scranton, PA 18509-2458
Phone
(570) 347-1712
Fax
(570) 344-4835
NPI assigned
Aug 5, 2006
Last updated
Jun 11, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X MD017502E PA Primary

Addresses

Primary practice location

1222 Marion St
Scranton, PA 18509-2458

Mailing address

1222 Marion St
Dunmore, PA 18509-2458
Phone (570) 347-1712

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071226000256 PA Practitioner - Plastic and Reconstructive Surgery 1850481185 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1222 Marion St
Dunmore, PA 18509-2458

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
3 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
10

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision83
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy20

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD017502EPAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Pennsylvania Plastic Surgery Associates LTD Plastic Surgery CurrentSince Dec 1, 2007 Accepting new patients

Locations

1222 Marion St
Scranton, PA 18509
Phone (570) 342-1712

Organizations & group practices 1

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

Hospital & facility affiliations 35

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1093724510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1222 MARION ST",
            "city": "DUNMORE",
            "state": "PA",
            "postal_code": "185092458",
            "telephone_number": "570-347-1712",
            "fax_number": "570-344-4835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 MARION ST",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185092458",
            "telephone_number": "570-347-1712",
            "fax_number": "570-344-4835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOMAIN",
        "first_name": "ERIC",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD017502E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.