JOHANNES V. BLOM, MD, PA
NPI 1932410008
Orthopaedic Surgery in Ft Lauderdale, FL

NPI Status: Active since June 23, 2010

Contact Information

300 SE 17TH ST
2ND FLOOR
FT LAUDERDALE, FL
ZIP 33316
Phone: (954) 964-6114

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  • Organization
  • Orthopaedic Surgery

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 Ft Lauderdale, Florida operating as a Orthopaedic Surgery. The healthcare provider is registered in the NPI registry with number 1932410008 assigned on June 2010. The practitioner's primary taxonomy code is 207X00000X with license number ME94285 (FL). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Mrs. Gabriela Engels (Administrator)

NPI
1932410008
Provider Name
JOHANNES V. BLOM, MD, PA
Entity Type
Organization
Location Address
300 SE 17TH ST 2ND FLOOR FT LAUDERDALE, FL 33316
Location Phone
(954) 964-6114
Mailing Address
300 SE 17TH ST 2ND FLOOR FT LAUDERDALE, FL 33316
Mailing Phone
(954) 964-6114
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-23-2010
Last Update Date
06-23-2010
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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

Orthopaedic Surgery

Taxonomy Code
207X00000X
Type
Allopathic & Osteopathic Physicians
License No.
ME94285
License State
FL
Taxonomy Description
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207XS0114XAllopathic & Osteopathic Physicians

Orthopaedic Surgery
Adult Reconstructive Orthopaedic Surgery

ME94285 (FL)
2207XX0005XAllopathic & Osteopathic Physicians

Orthopaedic Surgery
Sports Medicine

ME94285 (FL)
3207XX0801XAllopathic & Osteopathic Physicians

Orthopaedic Surgery
Orthopaedic Trauma

ME94285 (FL)

Group Taxonomy 193400000X MULTIPLE 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

MRS. GABRIELA ENGELS

Authorized Official Title
ADMINISTRATOR
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
1184654519OTHER (01)FLPROVIDER NPI
275038400MEDICAID (05)FL 
U6937ZMEDICARE PIN (08)FL 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1932410008
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
296281000
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 6 + 2 + 8 + 1 + 0 + 0 + 0 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1932410008 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

FRANK E WALTERS PHD, ATC

Specialist/Technologist

(Athletic Trainer)

300 SE 17TH ST
FT LAUDERDALE, FL
ZIP 33316

(954) 831-2796

ANNA CARPENTER MS

Genetic Counselor, MS

300 SE 17TH ST
SUITE 300
FORT LAUDERDALE, FL
ZIP 33316

(954) 468-3080

SEIN LWIN, M.D., P.A.

Orthopaedic Surgery

(Orthopaedic Trauma)

300 SE 17TH ST
SUITE 2R
FT LAUDERDALE, FL
ZIP 33316

(954) 525-3000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1932410008, enumerated as an "organization" on June 23, 2010.

The provider is located at 300 SE 17TH ST 2ND FLOOR FT LAUDERDALE, FL 33316 and the phone number is (954) 964-6114.

Orthopaedic Surgery with taxonomy code 207X00000X.

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