Thomas March Blum, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

028001 Issued in CT

Practice address

200 Sandy Hollow Rd
Mystic, CT 06355-1720

Phone

(860) 572-8911

Fax

(860) 572-7758

NPI assigned

Sep 14, 2005

Last updated

Dec 22, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Mystic Medical Group, PC

  • Internal Medicine Physician
  • Mystic, CT
  • NPI 1902891070
  Authorized official Same address or phone

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1194710210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 LIBRARY ST",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063552419",
            "telephone_number": "860-572-8911",
            "fax_number": "860-572-7758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 SANDY HOLLOW RD",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063551720",
            "telephone_number": "860-572-8911",
            "fax_number": "860-572-7758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "THOMAS",
        "middle_name": "MARCH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "028001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Bilheimer, PTA
• Natalie B. Billing, APRN
• Margot Bishop
• Blackbird Rising Mental Health LLC
• Blue Whale Counseling and Center for Healing
• Julie Boardsen-Bean, LPC
• Rosemary Catherine Bontempi, M.D.
• Elena Bortan, MD
• Donna Jean Boulay
• Tiffany Bradley

• Internal Medicine Physician in Mystic, CT
• Providers in Mystic, CT by specialty
• Internal Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.