Blossom Marimpietri Heindel, DO

Primary specialty

Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X

License

34.012411 Issued in OH

Practice address

3838 Massillon Rd
Uniontown, OH 44685-7964

Phone

(330) 835-5533

NPI assigned

Apr 16, 2014

Last updated

Oct 26, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Midwestern University, Chicago College of Osteopathic Med, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Summa Health System Hospital, Akron, OH, CCN 360020

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bheindel24948@summahealth-direct.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Summa Physicians LLC

  dba Summa Health Medical Group

  • Obstetrics & Gynecology Physician
  • Akron, OH
  • NPI 1235167719
  Medicare reassignment Care Compare group NPD
• Summa Physicians LLC

  dba Summa Health Medical Group

  • Geriatric Medicine (Internal Medicine) Physician
  • Uniontown, OH
  • NPI 1457662769
  NPD
• Summa Physicians LLC

  dba Summa Health Medical Group

  • Obstetrics & Gynecology Physician
  • Medina, OH
  • NPI 1851578066
  NPD
• Summa Physicians LLC

  dba Summa Health Medical Group

  • Vascular Surgery Physician
  • Akron, OH
  • NPI 1891743332
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Summa Health System

  dba Summa Health System Ignatia Hall South

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Canton, OH
  • NPI 1295036762

  Hospital

  Care Compare affiliation
• Summa Health System

  • General Acute Care Hospital
  • Akron, OH
  • NPI 1396765681
  Care Compare affiliation
• Summa Health System

  • Clinical Medical Laboratory
  • Barberton, OH
  • NPI 1609263706

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1397606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540512000000",
    "number": "1508286626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3838 MASSILLON RD",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857964",
            "telephone_number": "330-835-5533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3838 MASSILLON RD",
            "city": "UNIONTOWN",
            "state": "OH",
            "postal_code": "446857964",
            "telephone_number": "330-835-5533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1835 Franks Pkwy",
            "address_purpose": "LOCATION",
            "city": "Uniontown",
            "state": "OH",
            "postal_code": "446856249",
            "country_code": "US",
            "telephone_number": "330-899-0103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEINDEL",
        "first_name": "BLOSSOM",
        "middle_name": "MARIMPIETRI",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-16",
        "last_updated": "2018-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.012411",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OH",
            "license": "34.012411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0121949",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tina Marie Hawthorne, CNP
• Daniel Hazlett II, MA
• Health Care Solutions at Home Inc. (Health Care Solutions)
• Healthy Green Lifestyle Center of Town Park, LLC
• Kimberly L Heasley, PT
• Gary Joseph Heller, RN
• David Hench
• Herceg Chiropractic and Wellness Center Inc.
• Justin Ryan Herceg, DC
• Darcy Herendeen, RN

• Sports Medicine (Family Medicine) Physician in Uniontown, OH
• Providers in Uniontown, OH by specialty
• Sports Medicine (Family Medicine) Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.