NPIMap

Organization Active NPI

Dr. Dorothy Thomas-Blume D.O.

  • Internal Medicine Physician
  • Summerville, SC
National Provider Identifier
1386197283
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1635 Issued in SC
Legal business name
DR. DOROTHY THOMAS-BLUME D.O.
Practice address
105 Burton Ave
Summerville, SC 29485-8118
Phone
(843) 832-5379
NPI assigned
Jul 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Authorized official

Name
Dorothy Thomas-Blume, DO
Title
Owner
Phone
(202) 299-6536

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 1635 SC Primary

Addresses

Primary practice location

105 Burton Ave
Summerville, SC 29485-8118

Mailing address

1050 Johnnie Dodds Blvd
#2278
Mount Pleasant, SC 29464-3684

Other names 1

  • Advance Wound Care Specialist, LLC Doing business as

National Provider Directory

National Provider Directory

Locations

1050 Johnnie Dodds Blvd
#2278
Mount Pleasant, SC 29464

NPI Registry JSON

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

{
    "created_epoch": "1469577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469577600000",
    "number": "1386197283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 JOHNNIE DODDS BLVD",
            "address_2": "#2278",
            "city": "MOUNT PLEASANT",
            "state": "SC",
            "postal_code": "294643684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BURTON AVE",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294858118",
            "telephone_number": "843-832-5379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. DOROTHY THOMAS-BLUME D.O.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-27",
        "last_updated": "2016-07-27",
        "status": "A",
        "authorized_official_last_name": "THOMAS-BLUME",
        "authorized_official_first_name": "DOROTHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "202-299-6536",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "1635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance Wound Care Specialist, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 27, 2016; 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.