Bloomington Perfusionist Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

28914899 Issued in IL

Legal business name

BLOOMINGTON PERFUSIONIST INC.

Practice address

2005 Jacobssen Dr
Normal, IL 61761-6279

Phone

(309) 888-4000

NPI assigned

Nov 11, 2009

Last updated

Nov 11, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adam Sherrick, CCP

Title

President

Phone

(309) 830-6663

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1257897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257897600000",
    "number": "1326375346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 TAMARACK CC TRL",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617615265",
            "telephone_number": "309-830-6663",
            "fax_number": "309-454-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2005 JACOBSSEN DR",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617616279",
            "telephone_number": "309-888-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMINGTON PERFUSIONIST INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-11",
        "last_updated": "2009-11-11",
        "status": "A",
        "authorized_official_last_name": "SHERRICK",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-830-6663",
        "authorized_official_credential": "CCP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "28914899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Blatt, ATC
• Mackenzie Blomquist
• Bloomington Heart Institute
• Bloomington Normal Healthcare, LLC
• Bloomington Normal Public Transportation System (Connect Transit)
• Bloomington Radiology S C
• Bloomington-Normal Treatment Center, LLC (MedMark Treatment Centers Normal)
• Blue Skies Counseling LLC
• Coreliss Blue, PHARMD
• Karen Marie Blum, LCSW

• Durable Medical Equipment & Medical Supplies in Normal, IL
• Providers in Normal, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.