James Gerard Blaum, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC-4283-L Issued in PA

Practice address

105 Main St
Luzerne, PA 18709-1209

Phone

(570) 287-3090

Fax

(570) 287-3060

NPI assigned

Jul 21, 2005

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

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• Blaum Chiropractic Center

  • Chiropractor
  • Luzerne, PA
  • NPI 1801084199
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1336148253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MAIN ST",
            "city": "LUZERNE",
            "state": "PA",
            "postal_code": "187091209",
            "telephone_number": "570-287-3090",
            "fax_number": "570-287-3060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MAIN ST",
            "city": "LUZERNE",
            "state": "PA",
            "postal_code": "187091209",
            "telephone_number": "570-287-3090",
            "fax_number": "570-287-3060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLAUM",
        "first_name": "JAMES",
        "middle_name": "GERARD",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC-4283-L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015554030002",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US HEALTHCARE #",
            "identifier": "4600484",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD #",
            "identifier": "BL-716219",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY/BLUE CARE",
            "identifier": "805858",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Al & SP Luzerne LLC
• Agostino J Alfano, DDS
• David A Baker, M.S. SLP
• Jennifer Betts, PSY.D.
• Blaum Chiropractic Center
• Samuel A Brand, H.IS.
• Brittany Lehman Counseling, LLC
• Charles J. Spellman Ambulance Service, Inc.
• Cori'S Place
• Cvip Enterprises LLC

• All providers in Luzerne, PA
• Chiropractor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.