Active NPI
Ronald I Blum, M.D.
- Specialist
- Patten, ME
National Provider Identifier
1609824747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 008285
- Practice address
- 17 Founders Street
Patten, ME 04765 - Phone
- (207) 528-2067
- Fax
- (207) 528-2257
- NPI assigned
- May 4, 2006
- Last updated
- Jun 5, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 008285 | ME | Primary |
Addresses
Primary practice location
17 Founders Street
Patten, ME 04765
Mailing address
PO Box 385
Patten, ME 04765-0385
Phone (207) 528-2067
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 112640000 | Medicaid | ME |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008285 | ME | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rose M Fuchs | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401926400000",
"number": "1609824747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 385",
"city": "PATTEN",
"state": "ME",
"postal_code": "047650385",
"telephone_number": "207-528-2067",
"fax_number": "207-528-2257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 FOUNDERS STREET",
"city": "PATTEN",
"state": "ME",
"postal_code": "04765",
"telephone_number": "207-528-2067",
"fax_number": "207-528-2257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUM",
"first_name": "RONALD",
"middle_name": "I",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-04",
"last_updated": "2014-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "ME",
"license": "008285",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "112640000",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}Other providers in Patten, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.