Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SALLY S BLUM, PA
ActiveSALLY S BLUM, PA is a Medical Physician Assistant healthcare provider located in MENTOR, Ohio. NPI 1609818665 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · MENTOR, OH
Registration Details
- NPI Number
- 1609818665
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 12, 2006 (20.146045962286 yrs)
- Last Updated
- Aug 17, 2016
- Licenses
-
MA051937 (PA)C0005860 (MD)50.004712RX (OH)
Practice Information
- Address
-
7060 WAYSIDE DRMENTOR, OH, 440606527Browse OH providers · Browse ZIP 44060
- Phone
- 4403572770
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Physician Assistant
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in MENTOR, OH
| Name | Credential | NPI |
|---|---|---|
| LISA M NEDLEY | PA-C | 1366505406 |
| JORDAN SMITH | PA-C | 1932507092 |
| CLAY ELLENWOOD | PA-C | 1588134456 |
| VICTORIA CELESTE RADEL | PA-C | 1063130722 |
| KRISTI RENEA MEENAN | — | 1134832207 |
| MR. MICHAEL BLAKE | PA-S | 1720943665 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.