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SALLY S BLUM PA
NPI 1609818665
Physician Assistant - Medical in Mentor, OH

Active since June 12, 2006
7060 WAYSIDE DR, MENTOR, OH 44060(440) 357-2770 Get Directions Write a Review

NPPES record last updated: August 17, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sally S Blum Pa NPPES

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

SALLY S BLUM PA (NPI 1609818665) is an individual medical provider in Mentor, Ohio, licensed in Ohio (50.004712RX) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1609818665
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameSALLY S BLUMCredential: PA
Location Address7060 WAYSIDE DRMentor, OH 44060-6527
Mailing Address7060 Wayside DrMentor, OH 44060-6527 · (440) 357-2770
Phone(440) 357-2770
Sole ProprietorNo
Enumeration DateJune 12, 2006
Last NPPES UpdateAugust 17, 2016
✔ NPI 1609818665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in OH · 50.004712RX
Also ListedPhysician AssistantTaxonomy 363A00000X · License MA051937 (PA), C0005860 (MD)
7060 WAYSIDE DR, Mentor, OH 44060
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Other Providers at the Same Location NPPES 6

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

BRIANA LYNN ANDRES DO
Pediatrics
7060 WAYSIDE DR
MENTOR, OH 44060
Lake County (440) 357-2770
BLAKE WOLLAM
Nurse Practitioner (Family)
7060 WAYSIDE DR
MENTOR, OH 44060
Lake County (440) 357-2770
THE CLEVELAND CLINIC FOUNDATION
General Practice
7060 WAYSIDE DR
MENTOR, OH 44060
Lake County (216) 444-2273
KRISTI RENEA MEENAN
Physician Assistant (Medical)
7060 WAYSIDE DR
MENTOR, OH 44060
Lake County (440) 357-2770
MRS. JENNIFER WILSON RN, FNP
Nurse Practitioner (Family)
7060 WAYSIDE DR
MENTOR, OH 44060
Lake County (440) 357-2700
ROBERT J NICKODEM JR. M.D.
Orthopaedic Surgery
7060 WAYSIDE DR, MTR1/-102
MENTOR, OH 44060
Lake County (440) 357-2770

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 Sally Blum's NPI number?

The NPI number for Sally Blum is 1609818665. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Sally Blum located?

Sally Blum practices at 7060 Wayside Dr, Mentor, OH 44060. The listed phone number is (440) 357-2770.

What is Sally Blum's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Sally Blum was last updated on August 17, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.