Dr. Joan M Bloom, MD
Dr. Joan M Bloom, MD is a Family Practice in Ponderay, Idaho. Graduated from Ohio State University College of Medicine in 1985, 41 years ago. Practices with Michael R Dibenedetto MD PLLC, an 8-clinician group and accepts Medicare assignment. Licensed in Idaho.
- Years since qualifying
- 41
- Trained at
- Ohio State University College of Medicine
- Licensed in
- ID
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
30544 Highway 200 Ste 102Ponderay, ID 83852
Phone: (208) 265-9817
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X · Licence M8563 (ID) |
|---|---|
| Cardiovascular Disease Physician | Taxonomy 207RC0000X · Licence M-8563 (ID) |
Record details
| NPI number | 1033229307 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | August 30, 2006 |
| Last updated in NPPES | May 11, 2021 |
| Certification date | May 11, 2021 |
| Mailing address | 30544 Highway 200, Suite 102, Ponderay, ID 83852 |
Medicare enrollment
| Medicare specialty | FAMILY PRACTICE |
|---|---|
| Medical school | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduated | 1985 (41 years in practice) |
| Group practice | Michael R Dibenedetto Md Pllc — 8 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |