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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: July 19, 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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Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
57 services55 patients

Other Providers at the Same Location NPPES 5

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

ROBERT J NICKODEM JR. M.D.
Orthopaedic Surgery
7060 WAYSIDE DR, MTR1/-102
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
BLAKE WOLLAM
Nurse Practitioner (Family)
7060 WAYSIDE DR
MENTOR, OH 44060
Lake County (440) 357-2770
BRIANA LYNN ANDRES DO
Pediatrics
7060 WAYSIDE DR
MENTOR, OH 44060
Lake County (440) 357-2770
KRISTI RENEA MEENAN
Physician Assistant (Medical)
7060 WAYSIDE DR
MENTOR, OH 44060
Lake County (440) 357-2770

Frequently Asked Questions

What is Sally Blum's NPI number?

The NPI number assigned to this healthcare provider is 1609818665, enumerated as an "individual" on June 12, 2006.

Where is the provider located?

The provider is located at 7060 WAYSIDE DR MENTOR, OH 44060 and the phone number is (440) 357-2770.

What is the provider's specialty?

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.