Active NPI
Steven William Blum, PA C FNP C
- Medical Physician Assistant
- Charles City, IA
National Provider Identifier
1629060801
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 000828
- Practice address
- 1501 S Main St Ste 6
Charles City, IA 50616-3444 - Phone
- (641) 228-5151
- Fax
- (641) 228-2902
- NPI assigned
- Aug 16, 2005
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 000828 | IA | Primary |
Addresses
Primary practice location
1501 S Main St Ste 6
Charles City, IA 50616-3444
Mailing address
1501 S Main St Ste 6
Charles City, IA 50616-3444
Phone (641) 228-5151
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 970008132 | Other | RR MEDICARE |
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
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charles City Family Health Ctr, P.C. | Current | Accepting new patients |
Locations
1501 S Main St
Ste 1
Charles City, IA 50616
Phone (515) 228-5151
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Charles City, IA
- NPI 1952381360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1511136000000",
"number": "1629060801",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 S MAIN ST STE 6",
"city": "CHARLES CITY",
"state": "IA",
"postal_code": "506163444",
"telephone_number": "641-228-5151",
"fax_number": "641-228-2902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 S MAIN ST STE 6",
"city": "CHARLES CITY",
"state": "IA",
"postal_code": "506163444",
"telephone_number": "641-228-5151",
"fax_number": "641-228-2902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLUM",
"first_name": "STEVEN",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "PA C FNP C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-16",
"last_updated": "2017-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "IA",
"license": "000828",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "970008132",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charles City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.