| Johannes Victor Blom, MD | |
|
3702 Washington St, Suite 202, Hollywood, FL 33021-8282 | |
| (954) 964-6114 | |
| (954) 962-1994 |
| Full Name | Johannes Victor Blom |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 35 Years |
| Location | 3702 Washington St, Hollywood, Florida |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184654519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0114X | Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery | ME94285 (Florida) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Roads Home Health Broward | Hallandale, FL | Home health agency |
| Memorial Regional Hospital | Hollywood, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ortho Florida Llc | 3274616453 | 105 |
| Entity Name | Ortho Florida Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821113192 PECOS PAC ID: 3274616453 Enrollment ID: O20080211000758 |
| Mailing Address | Practice Location Address |
|---|---|
| Johannes Victor Blom, MD 3702 Washington St, Suite 202, Hollywood, FL 33021-8282 Ph: (954) 964-6114 | Johannes Victor Blom, MD 3702 Washington St, Suite 202, Hollywood, FL 33021-8282 Ph: (954) 964-6114 |
Dr. Kingsley R Chin, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 3816 Hollywood Blvd Ste 102, Hollywood, FL 33021 Phone: 954-640-6010 Fax: 855-411-4647 | |
Dr. Barry Schapiro, M.D. Orthopedic Surgery Medicare: May Accept Medicare Assignments Practice Location: 3500 Tyler St, Hollywood, FL 33021 Phone: 954-987-2047 Fax: 954-987-2048 | |
Dr. Marc Z Hammerman, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 4310 Sheridan St, Hollywood, FL 33021 Phone: 954-989-3500 Fax: 954-989-3511 | |
Dr. Robin Gayle Simon-mark, D.O. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 2607 Polk St, Hollywood, FL 33020 Phone: 954-925-7333 Fax: 954-925-7339 | |
Dr. Phillip Eric Greenbarg, M.D. Orthopedic Surgery Medicare: Not Enrolled in Medicare Practice Location: 4440 Sheridan St, Hollywood, FL 33021 Phone: 954-966-6450 | |
Michael H Jofe, MD Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 1150 N 35th Ave Ste 345, Hollywood, FL 33021 Phone: 954-265-6300 Fax: 954-961-3600 |