Michael a Blum DO PA

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

OS7680 Issued in FL

Legal business name

MICHAEL A BLUM DO PA

Practice address

579 NW Lake Whitney Place
Suite 101
Port Saint Lucie, FL 34986-1622

Phone

(772) 249-0260

Fax

(772) 249-0137

NPI assigned

May 18, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Michael Allan Blum, D.O.NPI 1922082965

Title

President and Ceo

Phone

(772) 249-0260

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IJGCDA

Practitioners 4

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

• Michael A Blum, D.O.

  • Internal Medicine Physician
  • Port Saint Lucie, FL
  • NPI 1922082965
  Medicare reassignment Care Compare group Authorized official
• Ashley Megan Beck

  • Student in an Organized Health Care Education/Training Program
  • Stuart, FL
  • NPI 1689398653
  Medicare reassignment Care Compare group NPD
• Ashlee Myers, APRN

  • Family Nurse Practitioner
  • Port St Lucie, FL
  • NPI 1760080766
  Medicare reassignment Care Compare group NPD
• Melanie De Guzman, ARNP

  • Nurse Practitioner
  • Port St Lucie, FL
  • NPI 1699128736
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647302400000",
    "number": "1770876120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "579 NW LAKE WHITNEY PLACE",
            "address_2": "SUITE 101",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349861622",
            "telephone_number": "772-249-0260",
            "fax_number": "772-249-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 NW LAKE WHITNEY PLACE",
            "address_2": "SUITE 101",
            "city": "PORT SAINT LUCIE",
            "state": "FL",
            "postal_code": "349861622",
            "telephone_number": "772-249-0260",
            "fax_number": "772-249-0137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 SE Federal Hwy Ste 330",
            "address_purpose": "LOCATION",
            "city": "Stuart",
            "state": "FL",
            "postal_code": "349943839",
            "country_code": "US",
            "telephone_number": "772-249-0260",
            "fax_number": "772-249-0137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MICHAEL A BLUM DO PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2022-03-15",
        "certification_date": "2022-03-15",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "ALLAN",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "772-249-0260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS7680",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014151100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Merritt Chiropractic, LLC
• Amelia Mesa
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• Jason Mezil, RPH
• MH Health Care Services, PC
• Michael a Garvin DPM PA
• Christie Leeann Michaud, DMD
• Isnara Michel
• Midly D Michel, BSN, RN
• Ernest Earl Middleton, PH.D., LPC

• Internal Medicine Physician in Port Saint Lucie, FL
• Providers in Port Saint Lucie, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.