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MS. ILENE S BLOOM PAC
NPI 1790851996
Physician Assistant - Medical in Annapolis, MD

Active since November 28, 2006
116 DEFENSE HWY, SUITE 400, ANNAPOLIS, MD 21401(410) 897-9841(410) 897-9852 Get Directions Write a Review

NPPES record last updated: August 13, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Ilene S Bloom Pac NPPES

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

MS. ILENE S BLOOM PAC (NPI 1790851996) is an individual medical provider in Annapolis, Maryland, licensed in Maryland (C01316) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1790851996
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMS. ILENE S BLOOMCredential: PAC
Location Address116 DEFENSE HWY, SUITE 400Annapolis, MD 21401-7027
Mailing Address116 Defense Hwy, Suite 400Annapolis, MD 21401-7027 · (410) 897-9841 · Fax (410) 897-9852
Phone(410) 897-9841
Fax(410) 897-9852
Sole ProprietorNo
Enumeration DateNovember 28, 2006
Last NPPES UpdateAugust 13, 2014
✔ NPI 1790851996 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in MD · C01316
116 DEFENSE HWY, Annapolis, MD 21401
Open in Google Maps ↗

Other Identifiers 1

OtherC001316MD · State License

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.

BRENDA KAY MATHEWS-VITELLO CRNP
Nurse Practitioner (Family)
116 DEFENSE HWY, SUITE 400
ANNAPOLIS, MD 21401
Anne Arundel County (410) 897-9841
LEE F. OWENS, ED.D.
Psychologist (Counseling)
116 DEFENSE HWY, SUITE 210
ANNAPOLIS, MD 21401
Anne Arundel County (410) 224-2021
CHRISTOPHER PERSONAL HOMECARE PHYSICIANS PC
Family Medicine (Geriatric Medicine)
116 DEFENSE HWY, SUITE 200
ANNAPOLIS, MD 21401
Anne Arundel County (410) 571-1478
DR. TIMOTHY G WOODS MD
Internal Medicine
116 DEFENSE HWY, SUITE 400
ANNAPOLIS, MD 21401
Anne Arundel County (410) 897-9841
KETAN H PATEL
Ophthalmology
116 DEFENSE HWY, STE 104
ANNAPOLIS, MD 21401
Anne Arundel County (410) 897-0560
JOSEPH N FRIEND MD
Internal Medicine
116 DEFENSE HWY, STE 400
ANNAPOLIS, MD 21401
Anne Arundel County (410) 897-9841
MRS. KASTLE FRANCIS DONOVAN NP
Nurse Practitioner (Family)
116 DEFENSE HWY, SUITE 400
ANNAPOLIS, MD 21401
Anne Arundel County (410) 897-9841
MS. JAMIE ALYSSA BERENSON DPT
Physical Therapist (Orthopedic)
116 DEFENSE HWY, SUITE 101
ANNAPOLIS, MD 21401
Anne Arundel County (410) 897-0120

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 Ilene Bloom's NPI number?

The NPI number for Ilene Bloom is 1790851996. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Ilene Bloom located?

Ilene Bloom practices at 116 Defense Hwy Suite 400, Annapolis, MD 21401. The listed phone number is (410) 897-9841.

What is Ilene Bloom'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 Ilene Bloom was last updated on August 13, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.