Active NPI
Paula Reif Headbloom, M.D.
- Obstetrics & Gynecology Physician
- Midland, MI
National Provider Identifier
1124343066
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 4301048581
- Practice address
- 3306 Thornbrook CT
Midland, MI 48640-2374 - Phone
- (989) 859-1233
- Fax
- (989) 631-4960
- NPI assigned
- Apr 4, 2010
- Last updated
- Apr 4, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 4301048581 | MI | Primary |
Addresses
Primary practice location
3306 Thornbrook CT
Midland, MI 48640-2374
Mailing address
3306 Thornbrook CT
Midland, MI 48640-2374
Phone (989) 859-1233
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301048581 | MI | MD | Obstetrics & Gynecology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270339200000",
"number": "1124343066",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3306 THORNBROOK CT",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486402374",
"telephone_number": "989-859-1233",
"fax_number": "989-631-4960"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3306 THORNBROOK CT",
"city": "MIDLAND",
"state": "MI",
"postal_code": "486402374",
"telephone_number": "989-859-1233",
"fax_number": "989-631-4960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEADBLOOM",
"first_name": "PAULA",
"middle_name": "REIF",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-04",
"last_updated": "2010-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MI",
"license": "4301048581",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Midland, MI
- Brooke Hawkins, P.A.
- Christine Nicole Hawkins, DPT
- Emma Haycock, CPHT
- Terri Lynn Hayes, LPN
- Head Injury Therapy Services Inc.
- Alicia Michelle Heading, DPT
- Healing Connections LLC
- Healing Journey Counseling PLLC
- Health First Chiropractic Clinic of Midland, P.C.
- Healthspan Physical Therapy and Wellness PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.