Organization Active NPI

Paul R. Blomerth, D.C.

Doing business as Ludlow Chiropractic Office

  • Neurology Chiropractor
  • Ludlow, MA
National Provider Identifier
1902948359
Registry record updated Jun 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology ChiropractorTaxonomy code 111NN0400X
License
0000835 Issued in MA
Legal business name
PAUL R. BLOMERTH, D.C.
Doing business as
Ludlow Chiropractic Office
Practice address
77 Winsor St
Suite 203
Ludlow, MA 01056-3469
Phone
(413) 583-0832
Fax
(413) 583-6133
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2008

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

Authorized official

Name
Dr. Paul Richard Blomerth, D.C.NPI 1184604555
Title
Chiropractor
Phone
(413) 583-8326

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111NN0400X 0000835 MA Primary

Addresses

Primary practice location

77 Winsor St
Suite 203
Ludlow, MA 01056-3469

Mailing address

77 Winsor St
Suite 203
Ludlow, MA 01056-3469
Phone (413) 583-0832

Other identifiers 2

IdentifierTypeStateIssuer
Y39115OtherMABCBS GROUP NUMBER
1611968MedicaidMA

Other names 1

  • Ludlow Chiropractic Office Doing business as

National Provider Directory

National Provider Directory

Locations

77 Winsor St
Ste 203
Ludlow, MA 01056
Phone (413) 583-7979

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1902948359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 WINSOR ST",
            "address_2": "SUITE 203",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010563469",
            "telephone_number": "413-583-0832",
            "fax_number": "413-583-6133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 WINSOR ST",
            "address_2": "SUITE 203",
            "city": "LUDLOW",
            "state": "MA",
            "postal_code": "010563469",
            "telephone_number": "413-583-0832",
            "fax_number": "413-583-6133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL R. BLOMERTH, D.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "BLOMERTH",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "CHIROPRACTOR",
        "authorized_official_telephone_number": "413-583-8326",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111NN0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor, Neurology",
            "state": "MA",
            "license": "0000835",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "Y39115",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1611968",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ludlow Chiropractic Office",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ludlow, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; 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.