Emily Blossom, PA-C
Physician Assistant in South Portland, Maine
1275090292- Practice location
- 230 Waterman Dr, South Portland, ME 04106-3635
- Phone
- 207-358-3188
- Fax
- —
- Last updated
- October 17, 2023
Emily Blossom is a Physician Assistant based in South Portland, ME. Emily Blossom practices in South Portland, ME and has the professional credentials of PA-C. The NPI Number for Emily Blossom is 1275090292 and holds a License No. PA2182 (ME). The current practice location address for Emily Blossom is 230 Waterman Dr, South Portland, ME 04106-3635 and can be reached out via phone at 207-358-3188.
Provider Profile Details
- NPI Number
- 1275090292
- Provider Name
- Emily Blossom
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 230 Waterman Dr, South Portland, ME 04106-3635
- Phone Number
- 207-358-3188
- Primary Taxonomy
- Physician Assistant · 363A00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- February 26, 2019
- Last Update Date
- October 17, 2023
- Certification Date
- October 2, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 230 Waterman Dr
South Portland, ME 04106-3635 - City
- South Portland
- State
- Maine
- Zip
- 04106-3635
- Phone Number
- 207-358-3188
Provider Business Mailing Address Details
- Address
- 22 Bramhall St
Portland, ME 04102-3134 - City
- Portland
- State
- ME
- Zip
- 04102-3134
- Phone Number
- 207-706-3280
License Information
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- PA2182
- License State (2)
- ME
- Taxonomy (2)
- Physician Assistant · 363A00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Emily Blossom, PA-C?
The NPI number of Emily Blossom, PA-C is 1275090292. It was assigned on February 26, 2019 and is currently active in the NPPES registry.
What is the specialty of Emily Blossom, PA-C?
Emily Blossom, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in ME under license number PA2182.
Where does Emily Blossom, PA-C practice?
The practice location is 230 Waterman Dr, South Portland, ME 04106-3635. The office can be reached at 207-358-3188 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275090292 directly on the NPPES registry website.