Southeast Kansas Medical Associates

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

44318 Issued in KS

Legal business name

SOUTHEAST KANSAS MEDICAL ASSOCIATES

Practice address

1501 W 4TH St
Coffeyville, KS 67337-3307

Phone

(620) 251-2400

Fax

(620) 251-1619

NPI assigned

Aug 31, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jerome Block, M.D.

Title

Owner

Phone

(620) 251-2400

Specialties & licenses 2

Addresses

Tax ID family

Jerry E Block CHTD MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• J E Block, M.D., Facp

  dba advanced medical weight loss

  • Nutrition Education Nutritionist
  • Tulsa, OK
  • NPI 1952692683
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1184736563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 W 4TH ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673373307",
            "telephone_number": "620-251-2400",
            "fax_number": "620-251-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 W 4TH ST",
            "city": "COFFEYVILLE",
            "state": "KS",
            "postal_code": "673373307",
            "telephone_number": "620-251-2400",
            "fax_number": "620-251-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST KANSAS MEDICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "BLOCK",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "620-251-2400",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "0420630",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "44318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Becky Smith, LPC
• Evelyn V Smith, LSCSW
• Wendy Smith
• Southeast Kansas Eye Care Associates, P.a.
• Southeast Kansas Health Care LLC
• Angel R Speicher, RDH
• Kerri Spoon
• St. John Physicians, Inc (Jane Phillips Coffeyville Rural Health Clinic)
• Leah C Steinle, OTR
• Stephen a. Miller,D.O.,P.a.

• Nurse Practitioner in Coffeyville, KS
• Providers in Coffeyville, KS by specialty
• Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.