Active NPI
Craig Ashley Blum, M.D.
- Plastic and Reconstructive Surgery Physician
- Summerville, SC
National Provider Identifier
1285718866
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic and Reconstructive Surgery Physician
- License
- 28156
- Practice address
- 102 W 8TH North St Ste B
Summerville, SC 29483-6656 - Phone
- (843) 471-1135
- NPI assigned
- Oct 24, 2006
- Last updated
- Mar 11, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | LL28156 | SC | |
| Plastic and Reconstructive Surgery Physician | 2086S0122X | 28156 | SC | Primary |
Addresses
Primary practice location
102 W 8TH North St Ste B
Summerville, SC 29483-6656
Mailing address
4993 Ohear Ave Apt 4105
Charleston, SC 29405-4999
Phone (843) 818-8747
Other practice location 1
171 Ashley Ave
Charleston, SC 29425-0001
Phone (843) 732-1414
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LL28156 | SC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Craig Blum PC | Plastic and Reconstructive Surgery | Past | Accepting new patients |
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.
-
- Plastic and Reconstructive Surgery Physician
- Summerville, SC
- NPI 1538091061
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552262400000",
"number": "1285718866",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4993 OHEAR AVE APT 4105",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294054999",
"telephone_number": "843-818-8747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 W 8TH NORTH ST STE B",
"city": "SUMMERVILLE",
"state": "SC",
"postal_code": "294836656",
"telephone_number": "843-471-1135"
}
],
"practiceLocations": [
{
"address_1": "171 Ashley Ave",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294250001",
"country_code": "US",
"telephone_number": "843-732-1414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BLUM",
"first_name": "CRAIG",
"middle_name": "ASHLEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2019-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "SC",
"license": "LL28156",
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": "SC",
"license": "28156",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summerville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.