Active NPI
Tiffany L Blockson, MD
- Pediatrics Physician
- Orlando, FL
National Provider Identifier
1093033664
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 107095
- Practice address
- 14015 Egret Tower Dr
Orlando, FL 32837-6197 - Phone
- (407) 447-7100
- Fax
- (407) 447-6100
- NPI assigned
- May 6, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 107095 | FL | Primary |
Addresses
Primary practice location
14015 Egret Tower Dr
Orlando, FL 32837-6197
Mailing address
14015 Egret Tower Dr
Orlando, FL 32837-6197
Phone (407) 447-7100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107095 | FL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nazim Merchant MD, PA | Pediatrics | Past | Accepting new patients |
| Nazim Merchant MD PA | Pediatrics | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GDEJAA/Endpoint/GDEJAA
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Orlando, FL
- NPI 1679246276
-
- Pediatrics Physician
- Orlando, FL
- NPI 1366406183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1273104000000",
"number": "1093033664",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14015 EGRET TOWER DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328376197",
"telephone_number": "407-447-7100",
"fax_number": "407-447-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14015 EGRET TOWER DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328376197",
"telephone_number": "407-447-7100",
"fax_number": "407-447-6100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLOCKSON",
"first_name": "TIFFANY",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-06",
"last_updated": "2010-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "107095",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.