Haywood Blum, M.D., PH.D.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD027475E Issued in PA

Practice address

Good Samaritan Regional Medical Center, Emergency Dept
700 E Norwegian St
Pottsville, PA 17901

Phone

(570) 621-4656

NPI assigned

May 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

Practice roles

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.

• Anthracite Emergency Physicians

  • Emergency Medicine Physician
  • Pottsville, PA
  • NPI 1023069226
  NPD (past)
• New Jersey-Pennsylvania Em-1 Medical Services, PC

  • Emergency Medicine Physician
  • Pottsville, PA
  • NPI 1114043882
  NPD (past)
• Schuylkill Health System Medical Group, Inc.

  • Emergency Medicine Physician
  • Pottsville, PA
  • NPI 1063073823
  NPD (past)
• Schuylkill Health System Medical Group, Inc.

  • Internal Medicine Physician
  • Pottsville, PA
  • NPI 1588603567
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198627200000",
    "number": "1689623324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 TAYLOR DR",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180348709",
            "telephone_number": "610-282-4353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GOOD SAMARITAN REGIONAL MEDICAL CENTER, EMERGENCY DEPT",
            "address_2": "700 E NORWEGIAN ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "17901",
            "telephone_number": "570-621-4656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM",
        "first_name": "HAYWOOD",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-09",
        "last_updated": "2007-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD027475E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012931210014",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mandy Lynn Bixler, PT DPT
• Mark Andrew Bixler, MSPT
• Teresa Ann Blatt, RN
• Aaron Ray Blehm, OD
• Blue Mountain Home Health Care, Inc
• Boas Surgical Inc.
• Daniel Bobrowski, MD
• Karen B Bohenek, PA
• Parvindar Singh Bola, MD
• Jamie Lynn Boland, BS

• Emergency Medicine Physician in Pottsville, PA
• Providers in Pottsville, PA by specialty
• Emergency Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2007; 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.