John P Blocksom, D.O.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

5101013730 Issued in MI

Practice address

110 Beech St
Tawas City, MI 48763-8314

Phone

(989) 362-9859

Fax

(989) 362-9862

NPI assigned

Jul 31, 2006

Last updated

Apr 5, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333584000000",
    "number": "1326054735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 779",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487640779",
            "telephone_number": "989-362-0153",
            "fax_number": "989-362-4683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 BEECH ST",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487638314",
            "telephone_number": "989-362-9859",
            "fax_number": "989-362-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCKSOM",
        "first_name": "JOHN",
        "middle_name": "P",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2012-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "5101013730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David L Beck, LPC
• Lyn M Behnke, DNP
• Barbara Lynette Berg
• Cheryl Ann Birkenbach, RN
• Bryan Blattert
• Julie Blust
• Abigail Lynn Boensch, PT, DPT
• Gregory A Bohn, MD
• Courtney Marie Bolen, D.C
• Mark Bowers, DO

• Orthopaedic Surgery Physician in Tawas City, MI
• Providers in Tawas City, MI by specialty
• Orthopaedic Surgery Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.