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Bloomington Medical Services LLC

Internal Medicine Physician in Wooster, OH · enumerated 2008 · authorized official Laurie Tate, Credentialing.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1528246683

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Registry record

Entity type Organization (Type 2)
Legal business name Bloomington Medical Services LLC
Practice address 1761 Beall Ave, Wooster, OH, 44691
Phone (330) 263-8428
Fax (330) 263-8190
Enumeration date Jan 31, 2008
Last updated in NPPES Feb 5, 2015

Taxonomy & classification

207R00000X Internal Medicine Physician Allopathic & Osteopathic Physicians · License 35077131 (OH) Primary

Authorized official

Name Laurie Tate
Title Credentialing
Phone (330) 263-8763

Other identifiers

Identifier Type State Issuer
2836560 Medicaid OH -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-02-05. Verify at npiregistry.cms.hhs.gov.
Where is Bloomington Medical Services LLC located?
The practice location on file with NPPES is in Wooster, OH.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-02-05.