Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1063630143 Deactivated / Inactive NPI Female Practitioner

Dr. Jane M Blaum , MD

Specialist • Daphne, AL

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jane Blaum has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 23, 2007
NPI Deactivation Date June 28, 2018
Total Practice Duration ~11 Years of Practice (2007 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Jane Blaum, MD was a registered Specialist practicing in Daphne, AL. Throughout an active medical career spanning 11 years, Dr. Blaum provided care at the practice location at 8573 COUNTY ROAD 64 until profile deactivation on 2018-06-28.

Practice Location & Contact Primary Location

Practice Address

8573 County Road 64

Daphne, AL 365268706

Telephone 2516212244
Fax 2516217209
Associated Practice Facility / Clinic
🏢 Deep South Dermatology Facility NPI 1710054556

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Daphne, AL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 29.0 Yrs
State Avg: 34.8 Yrs
Regional Practice Density
13 Specialists

Practicing in Daphne, AL (611 Statewide)

Telehealth Adoption Rate
7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License AL 14077

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1316029630

PHYSICIANASSISTANT

NPI 1871557348

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 28, 2018

Record deactivated on June 28, 2018

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 8573 COUNTY ROAD 64, DAPHNE, AL 365268706 (Tel: 2516212244)

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Updated Business Mailing Address July 08, 2007

Registered at 8573 COUNTY ROAD 64, DAPHNE, AL 365268706 (Tel: 2516212244)

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Provider Name / Credentials Updated July 08, 2007

Recorded as JANE BLAUM, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #14077 in AL)

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Initial NPI Registration & Enumeration April 23, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1063630143
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 23, 2007
Last Update: July 08, 2007
Deactivation Date: June 28, 2018

Mailing Address

8573 County Road 64

Daphne, AL 365268706

Phone: 2516212244

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.