Johannes V. Blom, MD, PA

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

ME94285 Issued in FL

Legal business name

JOHANNES V. BLOM, MD, PA

Practice address

601 N Flamingo Rd
Suite 101
Pembroke Pines, FL 33028-1015

Phone

(954) 964-6114

Fax

(954) 962-1994

NPI assigned

Aug 25, 2009

Organization subpart

No

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

Authorized official

Name

Gabriela Engels

Title

Administrator

Phone

(954) 964-6114

Specialties & licenses 1

Addresses

Tax ID family

Johannes V Blom MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Johannes V. Blom, MD, PA

  • Orthopaedic Surgery Physician
  • Ft Lauderdale, FL
  • NPI 1932410008
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Johannes Victor Blom, M.D.

  • Adult Reconstructive Orthopaedic Surgery Physician
  • Hollywood, FL
  • NPI 1184654519
  NPD (past)

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251158400000",
    "number": "1457584468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 WASHINGTON ST",
            "address_2": "SUITE 202",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218282",
            "telephone_number": "954-964-6114",
            "fax_number": "954-962-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N FLAMINGO RD",
            "address_2": "SUITE 101",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281015",
            "telephone_number": "954-964-6114",
            "fax_number": "954-962-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHANNES V. BLOM, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A",
        "authorized_official_last_name": "ENGELS",
        "authorized_official_first_name": "GABRIELA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "954-964-6114"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "FL",
            "license": "ME94285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JL Chiropractic LLC
• JNG Health Network PA
• Joaquin Mendez MD PA
• Justin Alex Joaquin, PTA
• Yaima Joglar
• Izabella Johannes
• Navneet Johar, RPH
• John V. Williams, M.D., PA
• Jeena John
• Jewel John, PHARM.D

• Orthopaedic Surgery Physician in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Orthopaedic Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.