Individual provider Active NPI

Amanda Christine Block, PA

  • Physician Assistant
  • Warrenton, MO
National Provider Identifier
1659535896
Registry record updated Jan 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2008018536 Issued in MO
Practice address
605 E Booneslick Rd
Suite B
Warrenton, MO 63383-2127
Phone
(636) 456-6103
NPI assigned
Jul 16, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2008018536 MO Primary

Addresses

Primary practice location

605 E Booneslick Rd
Suite B
Warrenton, MO 63383-2127

Mailing address

901 Patients First Dr
Washington, MO 63090-4700
Phone (636) 390-1400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080730000755 MO Practitioner - Physician Assistant 7719051325 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Access Urgent Care PCGroup PAC ID 8820171929, 130 clinicians

Practice addresses (Care Compare)

1001 Southern Ridge LN
Lake Saint Louis, MO 63367-4000
Phone (314) 961-2255

1005 S Big Bend Blvd
Saint Louis, MO 63117-1605
Phone (314) 961-2255

1717 Madison Ave
Washington, MO 63090-4921
Phone (314) 961-2255

1890 Wentzville Pkwy
Wentzville, MO 63385-3817
Phone (314) 961-2255

2501 Clarkson Rd
Chesterfield, MO 63017-7398
Phone (314) 961-2255

3909 Mexico Rd
Saint Peters, MO 63376-6408
Phone (314) 961-2255

4201 Hwy K
O Fallon, MO 63368-8230
Phone (314) 961-2255

600 Mid Rivers Mall Dr
Saint Peters, MO 63376-2460
Phone (314) 961-2255

9556 Manchester Rd
Saint Louis, MO 63119-1313
Phone (314) 961-2255

Hospital & facility affiliations

  • Mercy Hospital Washington Hospital, Washington, MO, CCN 260052

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
6447AZMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Total Access Urgent Care, PC CurrentSince Jun 21, 2017 Accepting new patients
Mercy Hospitals East Communities CurrentSince Jul 15, 2024 Accepting new patients
Total Access Urgent Care, PC CurrentSince Jun 21, 2017 Accepting new patients
Laser Spine Institute, LLC Past Accepting new patients
SSM Health Care St. Louis Past Accepting new patients
SSM Health Care St. Louis Past Accepting new patients

Locations (25 of 27)

9538 Gravois Rd
Affton, MO 63123
Phone (314) 932-0817

12409 Saint Charles Rock Rd
Bridgeton, MO 63044
Phone (314) 455-4046

2501 Clarkson Rd
Chesterfield, MO 63017
Phone (636) 778-9989

10923 Olive Blvd
Creve Coeur, MO 63141
Phone (314) 764-2953

408 Brothers Dr
Festus, MO 63028
Phone (636) 429-0999

1090 N Highway 67 St
Florissant, MO 63031

915 N Kirkwood Rd
Kirkwood, MO 63122
Phone (314) 932-0810

1001 Southern Ridge Ln
Lake Saint Louis, MO 63367
Phone (636) 265-6230

507 S Main St
O Fallon, MO 63366
Phone (636) 409-1092

4201 Highway K
O Fallon, MO 63368

8961 Page Ave
Overland, MO 63114

2138 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 534-4498

12616 Lamplighter Square Shpg Ctr
Saint Louis, MO 63128

2060 Hampton Ave
Saint Louis, MO 63139
Phone (314) 696-2341

6900 Chippewa St
Saint Louis, MO 63109

1005 S Big Bend Blvd
Saint Louis, MO 63117
Phone (314) 449-8677

2980 Dougherty Ferry Rd
Saint Louis, MO 63122
Phone (636) 529-8411

4400 Telegraph Rd
Saint Louis, MO 63129
Phone (314) 343-0056

9556 Manchester Rd
Saint Louis, MO 63119
Phone (314) 373-5740

3114 S Grand Blvd
Saint Louis, MO 63118

3909 Mexico Rd
Saint Peters, MO 63376
Phone (765) 569-3178

600 Mid Rivers Mall Dr
Saint Peters, MO 63376
Phone (636) 224-3208

901 Patients First Dr
Washington, MO 63090
Phone (636) 239-7500

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

1717 Madison Ave
Washington, MO 63090
Phone (636) 244-6950

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1216166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294272000000",
    "number": "1659535896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 PATIENTS FIRST DR",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630904700",
            "telephone_number": "636-390-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E BOONESLICK RD",
            "address_2": "SUITE B",
            "city": "WARRENTON",
            "state": "MO",
            "postal_code": "633832127",
            "telephone_number": "636-456-6103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCK",
        "first_name": "AMANDA",
        "middle_name": "CHRISTINE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-16",
        "last_updated": "2011-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MO",
            "license": "2008018536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warrenton, MO

Sources for this page

Verify at the official NPI Registry.