Individual provider Active NPI

Harry M. Rosenblum, M.D.,PA

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Tallahassee, FL
National Provider Identifier
1437260486
Registry record updated Nov 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
ME0047785 Issued in FL
Practice address
1896A Buford Blvd
Tallahassee, FL 32308-4442
Phone
(850) 877-0444
Fax
(850) 656-6820
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X ME0047785 FL Primary

Addresses

Primary practice location

1896A Buford Blvd
Tallahassee, FL 32308-4442

Mailing address

1896A Buford Blvd
Tallahassee, FL 32308-4442
Phone (850) 877-0444

Other identifiers 3

IdentifierTypeStateIssuer
044122800MedicaidFL
94633OtherFLBCBS OF FLORIDA
115312705CDSOtherFLVISTA HEALTHPLAN

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, Physician Assistant

State licenses

LicenseStateTypeSpecialty
ME0047785FLMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1195516800000",
    "number": "1437260486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1896A BUFORD BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084442",
            "telephone_number": "850-877-0444",
            "fax_number": "850-656-6820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1896A BUFORD BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084442",
            "telephone_number": "850-877-0444",
            "fax_number": "850-656-6820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSENBLUM",
        "first_name": "HARRY",
        "middle_name": "M.",
        "credential": "M.D.,PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "FL",
            "license": "ME0047785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "044122800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FLORIDA",
            "identifier": "94633",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISTA HEALTHPLAN",
            "identifier": "115312705CDS",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.