Individual provider Active NPI

Daniel S Blumer, D.O.

  • Family Medicine Physician
  • Canton, OH
National Provider Identifier
1598707770
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34003182 Issued in OH
Practice address
2662 Columbus Rd NE
Canton, OH 44705-3705
Phone
(330) 453-8168
Fax
(330) 453-1309
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34003182 OH Primary

Addresses

Primary practice location

2662 Columbus Rd NE
Canton, OH 44705-3705

Mailing address

2662 Columbus Rd NE
Canton, OH 44705-3705
Phone (330) 453-2044

Other identifiers 1

IdentifierTypeStateIssuer
0467294MedicaidOH

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20061004000348 OH Practitioner - Family Practice 7113923715 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tuscarawas County AuditorGroup PAC ID 6709068869, 3 clinicians

Practice addresses (Care Compare)

2662 Columbus Rd NE
Canton, OH 44705-3705
Phone (330) 453-2044

897 E Iron Ave
Dover, OH 44622-2030
Phone (330) 343-5555

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
3182OHMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tuscarawas County Auditor CurrentSince Mar 1, 2014 Accepting new patients

Locations

897 E Iron Ave
Dover, OH 44622
Phone (330) 343-5555

Organizations & group practices 2

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

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1598707770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2662 COLUMBUS RD NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447053705",
            "telephone_number": "330-453-2044",
            "fax_number": "330-453-1309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2662 COLUMBUS RD NE",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447053705",
            "telephone_number": "330-453-8168",
            "fax_number": "330-453-1309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMER",
        "first_name": "DANIEL",
        "middle_name": "S",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34003182",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0467294",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.