Thomas Francis Bliss Jr., M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

04203 Issued in RI

Practice address

100 Butler Dr
Providence, RI 02906-4862

Phone

(401) 330-1455

Fax

(401) 330-1456

NPI assigned

Jun 8, 2005

Last updated

Dec 5, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354665600000",
    "number": "1447254479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1119",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029011119",
            "telephone_number": "401-330-1455",
            "fax_number": "401-330-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 BUTLER DR",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029064862",
            "telephone_number": "401-330-1455",
            "fax_number": "401-330-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLISS",
        "first_name": "THOMAS",
        "middle_name": "FRANCIS",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2012-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "RI",
            "license": "04203",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "RI",
            "license": "RI4203",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7002079/ES00776",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Timothy Blegen, M.D.
• Sydney Katherine Blevins, MD
• Bliss Salon Inc, Dba Bliss Medical Hair Replacement Center
• Bliss Salon Inc, Dba Bliss Medical Hair Replacement Center
• Rachael Bliss, RN, CDOE
• Stanley H. Block, MD
• Deepa H Blomstedt, PHARMD
• Bradley J Bloom, MD
• Ellis Jeremy Bloom, DO
• Erika Bloom, PHD

• Orthopaedic Surgery Physician in Providence, RI
• Providers in Providence, RI by specialty
• Orthopaedic Surgery Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.