Physician Compare National (NPI:1902878697)

HEALTHCARE PROVIDER: SCOTT W BLUMER DO

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1902878697
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	2163491010
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20040928000946
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	BLUMER
	Individual professional last name
Provider First Name	SCOTT
	Individual professional first name
Provider Middle Name	W
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	DO
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
	Individual professional's medical school
Graduation Year	1995
	Individual professional's medical school graduation year
Primary Specialty	OTOLARYNGOLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	PLASTIC AND RECONSTRUCTIVE SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	PLASTIC AND RECONSTRUCTIVE SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	2819 AARONWOOD AVE NE
	Group Practice or individual's line 1 address
City	MASSILLON
	Group Practice or individual's city
State	OH
	Group Practice or individual's state
Zip Code	446462371
	Group Practice or individual's zip code (9 digits when available)
Phone Number	3308373559
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	360070
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	MERCY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	360084
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	AULTMAN HOSPITAL
	Legal business name of hospital where individual professional provides service 2
Professional Accepts Medicare Assignment	Y