JOHANNES V. BLOM, MD, PA
NPI 1558505149
Specialist in Hollywood, FL

Q: What is Johannes V. Blom, MD, PA's NPI number?

The NPI number for Johannes V. Blom, MD, PA is 1558505149. It was assigned to this organization in the NPPES registry on April 27, 2009.

Q: What is Johannes V. Blom, MD, PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since April 27, 2009

3702 WASHINGTON ST, SUITE 202, HOLLYWOOD, FL 33021(954) 964-6114(954) 962-1994 Get Directions Write a Review

NPPES record last updated: December 15, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Johannes V. Blom, Md, Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOHANNES V. BLOM, MD, PA (NPI 1558505149) is a healthcare organization registered as a specialist in Hollywood, Florida and active in the NPI registry since April 2009. The organization lists Johannes V. Blom, President, as its authorized official.

NPPES Registry Identity

NPI1558505149

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameJOHANNES V. BLOM, MD, PA

Location Address3702 WASHINGTON ST, SUITE 202Hollywood, FL 33021-8282

Mailing Address3702 Washington St, Suite 202Hollywood, FL 33021-8282 · (954) 964-6114 · Fax (954) 962-1994

Phone(954) 964-6114

Fax(954) 962-1994

Organization SubpartNo

Authorized OfficialJohannes V. BlomPresident · (954) 964-6114

Enumeration DateApril 27, 2009

Last NPPES UpdateDecember 15, 2009

✔ NPI 1558505149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in FL · ME94285

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

3702 WASHINGTON ST, Hollywood, FL 33021

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Other Identifiers 3

Medicaid275038400FL

Medicare PINU6937ZFL

Other1184654519FL · Provider Npi

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MIAMI VAMC

Clinic/Center (VA)

3702 WASHINGTON ST, HOLLYWOOD PAVILION, SUITE 201
HOLLYWOOD, FL 33021

Broward County (866) 793-4591

MICHAEL S MAREK MD

Internal Medicine (Interventional Cardiology)

3702 WASHINGTON ST, SUITE 303
HOLLYWOOD, FL 33021

Broward County (954) 967-6550

HENRY WODNICKI, M.D., P.A.

Specialist

3702 WASHINGTON ST, SUITE 205
HOLLYWOOD, FL 33021

Broward County (954) 983-4420

LISA SCARBOROUGH TALLET

Nurse Practitioner

3702 WASHINGTON ST, SUITE 303
HOLLYWOOD, FL 33021

Broward County (954) 967-6550

CARDIAC & VEINWORX LLC

Internal Medicine (Cardiovascular Disease)

3702 WASHINGTON ST, SUITE 305
HOLLYWOOD, FL 33021

Broward County (954) 983-8910

JOHANNES VICTOR BLOM M.D.

Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)

3702 WASHINGTON ST, SUITE 202
HOLLYWOOD, FL 33021

Broward County (954) 964-6114

HECTOR ANTONIO RAMIREZ MD

Family Medicine

3702 WASHINGTON ST
HOLLYWOOD, FL 33021

Broward County (954) 986-6808

MRS. LEAH BETH MARCOVITZ ARNP

Nurse Practitioner (Family)

3702 WASHINGTON ST, SUITE 201
HOLLYWOOD, FL 33021

Broward County (954) 986-1811

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Johannes V. Blom, MD, PA's NPI number?

The NPI number for Johannes V. Blom, MD, PA is 1558505149. It was assigned to this organization in the NPPES registry on April 27, 2009.

Where is Johannes V. Blom, MD, PA located?

Johannes V. Blom, MD, PA is located at 3702 Washington St Suite 202, Hollywood, FL 33021. The listed phone number is (954) 964-6114.

What is Johannes V. Blom, MD, PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Johannes V. Blom, MD, PA was last updated on December 15, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.