Individual provider Active NPI

Anita Gay Bloor, M.D.

  • Internal Medicine Physician
  • Limon, CO
National Provider Identifier
1346316130
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
29352 Issued in CO
Practice address
Limon Correctional Facility
49030 South Highway 71
Limon, CO 80826-0001
Phone
(719) 775-7665
Fax
(719) 775-7651
NPI assigned
Nov 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 29352 CO Primary

Addresses

Primary practice location

Limon Correctional Facility
49030 South Highway 71
Limon, CO 80826-0001

Mailing address

8727 E Kettle PL
Centennial, CO 80112-2710
Phone (720) 529-5942

Other identifiers 1

IdentifierTypeStateIssuer
01293521MedicaidCO

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

LicenseStateTypeSpecialty
29352COMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1164499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346316130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8727 E KETTLE PL",
            "city": "CENTENNIAL",
            "state": "CO",
            "postal_code": "801122710",
            "telephone_number": "720-529-5942",
            "fax_number": "303-771-7554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LIMON CORRECTIONAL FACILITY",
            "address_2": "49030 SOUTH HIGHWAY 71",
            "city": "LIMON",
            "state": "CO",
            "postal_code": "808260001",
            "telephone_number": "719-775-7665",
            "fax_number": "719-775-7651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOOR",
        "first_name": "ANITA",
        "middle_name": "GAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "29352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01293521",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Limon, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.