OrganizationActive
Johannes V. Blom, MD, PA
NPI 1558505149 · Specialist · Hollywood, FL
Johannes V. Blom, MD, PA is a Specialist organization in Hollywood, FL (NPI 1558505149).
Provider details
- NPI number
- 1558505149
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Johannes Blom, President(954) 964-6114
- License
- ME94285 (FL)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(85/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3702 Washington St
Suite 202
Hollywood, FL 33021-8282
Phone: (954) 964-6114
Fax: (954) 962-1994
Street-level locationGet directions
Mailing address
3702 Washington St
Hollywood, FL 33021-8282
Registry dates
- Enumerated
- 2009-04-27
- Last updated
- 2009-12-15
Frequently asked questions
- What is Johannes V. Blom, MD, PA's NPI number?
- Johannes V. Blom, MD, PA's National Provider Identifier (NPI) is 1558505149, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Johannes V. Blom, MD, PA?
- Johannes V. Blom, MD, PA is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is Johannes V. Blom, MD, PA located?
- Johannes V. Blom, MD, PA's practice location on file with NPPES is 3702 Washington St, Hollywood, FL 33021-8282.
- What is Johannes V. Blom, MD, PA's phone number?
- The practice phone number listed in the NPPES registry for Johannes V. Blom, MD, PA is (954) 964-6114.
- Who is the authorized official for Johannes V. Blom, MD, PA?
- The authorized official listed on Johannes V. Blom, MD, PA's NPPES record is Johannes Blom, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Johannes V. Blom, MD, PA's NPI active?
- Yes — Johannes V. Blom, MD, PA's NPI (1558505149) is active in the NPPES registry as of the last update on 2009-12-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.