Individual provider Active NPI

Scott W Blumer, DO

  • Otolaryngology Physician
  • Massillon, OH
National Provider Identifier
1902878697
Registry record updated Mar 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
34006636B Issued in OH
Practice address
2819 Aaronwood Avenue N.W.
Massillon, OH 44646-2371
Phone
(330) 837-3559
Fax
(330) 837-3052
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 34006636B OH Primary

Addresses

Primary practice location

2819 Aaronwood Avenue N.W.
Massillon, OH 44646-2371

Mailing address

2819 Aaronwood Avenue N.W.
Massillon, OH 44646-2371
Phone (330) 837-3559

Other identifiers 1

IdentifierTypeStateIssuer
2186996MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040928000946 OH Practitioner - OtolaryngologyPractitioner - Plastic and Reconstructive Surgery 2163491010 Receives reassigned benefits from 1 practitioner
Practice locations: Massillon, OH

Care Compare profile

Medicare Care Compare
Specialty
OtolaryngologyAlso: Plastic and Reconstructive Surgery
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2819 Aaronwood Ave N W
Massillon, OH 44646-2371

2819 Aaronwood Ave NE
Massillon, OH 44646-2371
Phone (330) 837-3559

Hospital & facility affiliations

  • Aultman Hospital Hospital, Canton, OH, CCN 360084
  • Mercy Medical Center Hospital, Canton, OH, CCN 360070

Merit-based Incentive Payment System (MIPS)

Final score
96.43 of 100Reported as individual
Quality
87.45
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34006636BOHMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Scott W. Blumer LLC Otolaryngology CurrentSince Apr 1, 2018 Accepting new patients
Comprehensive Care Anesthesia Services Inc Past Accepting new patients
DHSC LLC Past Accepting new patients

Locations

2819 Aaronwood Ave NW
Massillon, OH 44646
Phone (330) 837-0955

2819 Aaronwood Ave NW
Massillon, OH 44646
Phone (330) 834-4792

2819 Aaronwood Ave NE
Massillon, OH 44646
Phone (330) 837-8300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17601/brand/1/csg/1/fhir/r4
  • Direct secure messaging: scott.blumer.1@17601.direct.athenahealth.com

Practitioners & affiliated clinicians

Practitioners 1

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

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1902878697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2819 AARONWOOD AVENUE N.W.",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462371",
            "telephone_number": "330-837-3559",
            "fax_number": "330-837-3052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2819 AARONWOOD AVENUE N.W.",
            "city": "MASSILLON",
            "state": "OH",
            "postal_code": "446462371",
            "telephone_number": "330-837-3559",
            "fax_number": "330-837-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUMER",
        "first_name": "SCOTT",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "OH",
            "license": "34006636B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2186996",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Massillon, OH

Sources for this page

Verify at the official NPI Registry.