Linda K Blom, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

032703 Issued in GA

Practice address

790 Church St NE
Ste 400
Marietta, GA 30060-7282

Phone

(770) 952-8899

NPI assigned

Feb 28, 2006

Sex

Female

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Atrium Imaging of Snellville

  • Clinic/Center
  • Snellville, GA
  • NPI 1841298585
  NPD (past)
• Cobb Hospital, Inc

  • General Acute Care Hospital
  • Austell, GA
  • NPI 1467420448
  NPD (past)
• Diagnostic Systems Inc

  • Diagnostic Radiology Physician
  • Savannah, GA
  • NPI 1518064237

  Diagnostic Radiology

  NPD (past)
• GBM Enterprises, Inc.

  • Clinic/Center
  • Dalton, GA
  • NPI 1386642015
  NPD (past)
• Lagrange Troup County Hospital Authority

  • General Acute Care Hospital
  • Lagrange, GA
  • NPI 1992779748
  NPD (past)
• Open MRI and CT Specialists of Stockbridge

  • Nuclear Radiology Physician
  • Stockbridge, GA
  • NPI 1871544098

  Diagnostic Radiology

  NPD (past)
• Synergy Radiology, LLC

  • Radiology Clinic/Center
  • Douglasville, GA
  • NPI 1588229918
  NPD (past)

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1902872013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3157",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462063157",
            "telephone_number": "770-952-8899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "790 CHURCH ST NE",
            "address_2": "STE 400",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300607282",
            "telephone_number": "770-952-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOM",
        "first_name": "LINDA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-28",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "032703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000436466",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alfreda Blasingame
• Markela Shaney Blassingame, APRN
• Sara Catherine Blaustein, PT, DPT
• Dereck G Blazquez, DC
• Alexandra Kelly Blizzard, LPC
• Jean Elizabeth Blond, MA, CCC-SLP
• Bloom Chiropractic & Wellness, LLC
• Bloom Rock Care LLC
• Roberta A Bloomfield
• Blossom Home Care, LLC

• All providers in Marietta, GA
• Diagnostic Radiology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.