Michael Bloom MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

142447-1 Issued in NY

Legal business name

MICHAEL BLOOM MD

Practice address

8995 Main St
Clarence, NY 14031-1927

Phone

(716) 634-8989

Fax

(716) 634-7544

NPI assigned

Sep 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael Bloom, MD

Title

Ceo

Phone

(716) 634-8989

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Virginia J Zgoda, PA

  • Medical Physician Assistant
  • Clarence, NY
  • NPI 1912958984
  NPD (past)

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194393600000",
    "number": "1750577680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8995 MAIN ST",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140311927",
            "telephone_number": "716-634-8989",
            "fax_number": "716-634-7544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8995 MAIN ST",
            "city": "CLARENCE",
            "state": "NY",
            "postal_code": "140311927",
            "telephone_number": "716-634-8989",
            "fax_number": "716-634-7544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL BLOOM MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2007-11-07",
        "status": "A",
        "authorized_official_last_name": "BLOOM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "716-634-8989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "142447-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Magnuszewski
• Jody G Marshall, SLP
• Alexander Martin
• Deborah L Mason, RPH
• Massage Therapy of Buffalo
• Sandra J. Mineo, LCSW
• Susan Minkiewicz Gugliuzza, RNC, MS
• Jacqueline Marie Morgante, M.S., CCC-SLP
• Carly Marie Mrozek, OTR/L
• Kenny Yat NG, PHARMACIST

• Family Medicine Physician in Clarence, NY
• Providers in Clarence, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 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.