Organization Active NPI

J. Fredrick Bluhm III, MD, SC

  • Dermatology Physician
  • Sedalia, MO
National Provider Identifier
1578872917
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
R6A34 Issued in MO
Legal business name
J. FREDRICK BLUHM III, MD, SC
Practice address
1431 Thompson Blvd.
Sedalia, MO 65301-2244
Phone
(660) 827-2034
NPI assigned
Oct 4, 2010
Last updated
Oct 26, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Authorized official

Name
Dr. John Fredrick Bluhm III, M.D.
Title
President
Phone
(660) 827-2034

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X R6A34 MO Primary

Addresses

Primary practice location

1431 Thompson Blvd.
Sedalia, MO 65301-2244

Mailing address

1431 Thompson Blvd.
Sedalia, MO 65301-2244
Phone (660) 827-2034

National Provider Directory

National Provider Directory

Locations

1431 Thompson Blvd
Sedalia, MO 65301
Phone (660) 827-2034

NPI Registry JSON

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

{
    "created_epoch": "1286150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1578872917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 THOMPSON BLVD.",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012244",
            "telephone_number": "660-827-2034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 THOMPSON BLVD.",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653012244",
            "telephone_number": "660-827-2034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. FREDRICK BLUHM III, MD, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "BLUHM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "FREDRICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "660-827-2034",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "R6A34",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sedalia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.