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

NPI Status: Active since April 27, 2009

Contact Information

3702 WASHINGTON ST
SUITE 202
HOLLYWOOD, FL
ZIP 33021
Phone: (954) 964-6114
Fax: (954) 962-1994

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  • Organization
  • Specialist

About JOHANNES V. BLOM, MD, PA

This page provides the complete NPI Profile along with additional information for Johannes V. Blom, Md, Pa, a provider established in Hollywood, Florida operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1558505149 assigned on April 2009. The practitioner's primary taxonomy code is 174400000X with license number ME94285 (FL). The provider is registered as an organization and their NPI record was last updated 16 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Johannes V. Blom Md (President)

NPI
1558505149
Provider Name
JOHANNES V. BLOM, MD, PA
Entity Type
Organization
Location Address
3702 WASHINGTON ST SUITE 202 HOLLYWOOD, FL 33021
Location Phone
(954) 964-6114
Location Fax
(954) 962-1994
Mailing Address
3702 WASHINGTON ST SUITE 202 HOLLYWOOD, FL 33021
Mailing Phone
(954) 964-6114
Mailing Fax
(954) 962-1994
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-27-2009
Last Update Date
12-15-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
ME94285
License State
FL
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHANNES V. BLOM MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(954) 964-6114

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
275038400MEDICAID (05)FL 
U6937ZMEDICARE PIN (08)FL 
1184654519OTHER (01)FLPROVIDER NPI

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1558505149, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
8
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
0
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
4
Doubled → 8
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 5 → 10 → 1 5 → 10 → 1 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 0 + 8 + 1 + 0 + 0 + 1 + 0 + 1 + 8 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1558505149.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Orthopaedic Surgery (Hand Surgery)
3702 WASHINGTON ST, STE 101
HOLLYWOOD, FL 33021
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
3702 WASHINGTON ST, STE 101
HOLLYWOOD, FL 33021
Acupuncturist
3702 WASHINGTON ST, STE 101
HOLLYWOOD, FL 33021
Internal Medicine
3702 WASHINGTON ST, 201
HOLLYWOOD, FL 33021
Nurse Practitioner (Family)
3702 WASHINGTON ST, SUITE 201
HOLLYWOOD, FL 33021
Internal Medicine (Interventional Cardiology)
3702 WASHINGTON ST, SUITE 303
HOLLYWOOD, FL 33021
Audiologist
3702 WASHINGTON ST, SUITE 201
HOLLYWOOD, FL 33021
Internal Medicine (Cardiovascular Disease)
3702 WASHINGTON ST, SUITE 303
HOLLYWOOD, FL 33021
Family Medicine
3702 WASHINGTON ST
HOLLYWOOD, FL 33021
Audiologist
3702 WASHINGTON ST, SUITE #201
HOLLYWOOD, FL 33021
Internal Medicine (Cardiovascular Disease)
3702 WASHINGTON ST, SUITE 303
HOLLYWOOD, FL 33021
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
3702 WASHINGTON ST, SUITE 202
HOLLYWOOD, FL 33021
Nurse Practitioner
3702 WASHINGTON ST, SUITE 303
HOLLYWOOD, FL 33021
Counselor (Mental Health)
3702 WASHINGTON ST, SUITE 303
HOLLYWOOD, FL 33021
Orthopaedic Surgery (Hand Surgery)
3702 WASHINGTON ST, SUITE 404
HOLLYWOOD, FL 33021
Physician Assistant
3702 WASHINGTON ST, SUITE 403
HOLLYWOOD, FL 33021
Orthopaedic Surgery (Hand Surgery)
3702 WASHINGTON ST, SUITE 404
HOLLYWOOD, FL 33021
Physician Assistant
3702 WASHINGTON ST, SUITE 303
HOLLYWOOD, FL 33021
Chiropractor
3702 WASHINGTON ST, SUITE 202
HOLLYWOOD, FL 33021
Physician Assistant
3702 WASHINGTON ST, SUITE 305
HOLLYWOOD, FL 33021

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558505149, enumerated as an "organization" on April 27, 2009.

The provider is located at 3702 WASHINGTON ST SUITE 202 HOLLYWOOD, FL 33021 and the phone number is (954) 964-6114.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.