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DR. PAUL MARK BLOOMSTON MD NPI 1982658225


NPI Information

NPI: 1982658225
Provider Name: DR. PAUL MARK BLOOMSTON, MD
Classification: Surgery - 2086X0206X
Entity Type: Individual

Specialization: Surgical Oncology

Organization: GENESISCARE USA OF FLORIDA LLC

PECOS Registration: Yes

Address:
4571 COLONIAL BLVD
SUITE 100
FORT MYERS, FL
ZIP 33966
Phone: (239) 333-0995
Get Directions

DR. Paul Mark Bloomston, MD is a surgical oncology surgery in Fort Myers, FL with 27 years of experience. The provider is a surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research. DR. Paul Mark Bloomston, MD NPI is 1982658225. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF SOUTH FLORIDA COLLEGE OF MEDICINE
Graduation Year:1997

The provider's business location address is:

4571 COLONIAL BLVD
SUITE 100
FORT MYERS, FL
ZIP 33966-156
Phone: (239) 333-0995
Fax: (844) 615-5267

The NPI 1982658225 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/20/2006 and was last updated on 4/21/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086X0206XSurgerySurgical Oncology35084271OHIONo
22086X0206XSurgerySurgical OncologyME125024FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P01547650OTHERFLORIDARR MEDICARE
21191282OTHERFLORIDAWELLCARE
3015646100MEDICAIDFLORIDA
4P971025OTHERFLORIDAOPTIMUM
5II319ZMEDICARE PINFLORIDA
67438862OTHERFLORIDAAETNA
72659814MEDICAIDOHIO
8BL4182911MEDICARE PINOHIO
9385460OTHERFLORIDAAVMED
107073160OTHERFLORIDACIGNA
11P1032667OTHERFLORIDAFREEDOM
12QMP000005121963OTHERFLORIDAMOLINA
13151EVOTHERFLORIDABCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.