STEPHEN A BLOOM, MD, Cardiovascular Disease OVERLAND PARK, KS

Contact Information

STEPHEN A BLOOM, MD

5100 W 110TH ST STE 200
OVERLAND PARK, KS 66211-1215

Phone: 913-253-3000
Fax: 913-663-2980
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Cardiovascular Disease	207RC0000X	11	Physician/Internal Medicine

Indicates primary specialty

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NPI Profile & details for STEPHEN A BLOOM · (Male)

NPI #	`1972552552`
Status	Active
Credentials	MD
Entity	Individual
Enumeration date	05/09/2006
Last updated	01/24/2022 - About 4 years ago
Sole proprietor ¹	No
Identifiers	KS License # 0421697 LA License # 329171 MO License # R6G52 KS Medicaid 100205960A MO Medicaid 202401410 KS Other K67A00045 ENCOMPASS MEDICARE NUMBER MO Other K676856 ENCOMPASS MEDICARE NUMBER MO Other P00475776 RAILROAD MEDICARE
Hospital affiliation(s)	CENTERPOINT MEDICAL CENTER OF INDEPENDENCE LLC - (Acute Care) 19600 EAST 39TH STREET INDEPENDENCE, MO 64057 MENORAH MEDICAL CENTER - (Acute Care) 5721 WEST 119TH STREET OVERLAND PARK, KS 66209 OVERLAND PARK REG MED CTR - (Acute Care) 10500 QUIVIRA ROAD OVERLAND PARK, KS 66215 RESEARCH MEDICAL CENTER - (Acute Care) 2316 E MEYER BLVD KANSAS CITY, MO 64132 ST LUKES HOSPITAL OF KANSAS CITY - (Acute Care) 4401 WORNALL ROAD KANSAS CITY, MO 64111

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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STEPHEN A BLOOM, MD – NPI #1972552552Cardiovascular Disease

Contact Information

Specialty

Cardiovascular Disease

NPI Profile & details for STEPHEN A BLOOM · (Male)

Reviews for STEPHEN A BLOOM

STEPHEN A BLOOM, MD – NPI #1972552552
Cardiovascular Disease