Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1629387006 Deactivated / Inactive NPI Male Practitioner

Dr. Barton Jerome Blum , MD

General Practice • Waupaca, WI

⚠️

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. Barton Blum has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date October 01, 2010
NPI Deactivation Date January 30, 2022
Total Practice Duration ~12 Years of Practice (2010 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Barton Blum, MD was a registered General Practice practicing in Waupaca, WI. Throughout an active medical career spanning 12 years, Dr. Blum provided care at the practice location at E1803 MELODY LANE until profile deactivation on 2022-01-30.

Practice Location & Contact Primary Location

Practice Address

E1803 Melody Lane

Waupaca, WI 54981

Telephone 7152588414

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Waupaca, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 29.4 Yrs
Regional Practice Density
1 Specialists

Practicing in Waupaca, WI (130 Statewide)

Telehealth Adoption Rate
0.0% 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

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License WI 21229-020

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated January 30, 2022

Record deactivated on January 30, 2022

NPI Profile Active October 01, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location October 01, 2010

Registered at E1803 MELODY LANE, WAUPACA, WI 54981 (Tel: 7152588414)

📍
Updated Business Mailing Address October 01, 2010

Registered at E1803 MELODY LANE, WAUPACA, WI 54981 (Tel: 7152588414)

👤
Provider Name / Credentials Updated October 01, 2010

Recorded as BARTON BLUM, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 01, 2010

General Practice (License #21229-020 in WI)

🟢
Initial NPI Registration & Enumeration October 01, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Dr. Barton Blum. Be the first to share your experience!

Sign in to leave a review for Dr. Barton Blum

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1629387006
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 01, 2010
Last Update: October 01, 2010
Deactivation Date: January 30, 2022

Mailing Address

E1803 Melody Lane

Waupaca, WI 54981

Phone: 7152588414

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.