NPIMap

Organization Active NPI

Block Nation Chase Smolen Family Medicine Inc

  • Primary Care Clinic/Center
  • Oviedo, FL
National Provider Identifier
1679671200
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
ME90314 Issued in FL
Legal business name
BLOCK NATION CHASE SMOLEN FAMILY MEDICINE INC
Practice address
2441 West State Road 426
Suite 2011
Oviedo, FL 32765-4515
Phone
(407) 678-6888
Fax
(407) 678-0252
NPI assigned
Sep 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Authorized official

Name
Bradley M Block, MDNPI 1205819307
Title
Owner
Phone
(407) 678-6888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X ME0061495 FL
Primary Care Clinic/Center 261QP2300X OS0007059 FL
Primary Care Clinic/Center 261QP2300X ME0074034 FL
Primary Care Clinic/Center 261QP2300X ME90314 FL Primary

Addresses

Primary practice location

2441 West State Road 426
Suite 2011
Oviedo, FL 32765-4515

Mailing address

2441 West State Road 426
Suite 2011
Oviedo, FL 32765-4515
Phone (407) 678-6888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040712000421 FL Part B Supplier - Clinic/Group Practice 8628056140 Receives reassigned benefits from 4 practitioners
Practice locations: Oviedo, FL

National Provider Directory

National Provider Directory

Locations

2441 W State Road 426
Ste 2011
Oviedo, FL 32765
Phone (407) 678-6888

4270 Aloma Ave
Ste 194
Winter Park, FL 32792

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HFAAAA

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359331200000",
    "number": "1679671200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 WEST STATE ROAD 426",
            "address_2": "SUITE 2011",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327654515",
            "telephone_number": "407-678-6888",
            "fax_number": "407-678-0252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 WEST STATE ROAD 426",
            "address_2": "SUITE 2011",
            "city": "OVIEDO",
            "state": "FL",
            "postal_code": "327654515",
            "telephone_number": "407-678-6888",
            "fax_number": "407-678-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOCK NATION CHASE SMOLEN FAMILY MEDICINE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2013-01-28",
        "status": "A",
        "authorized_official_last_name": "BLOCK",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-678-6888",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME0061495",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "OS0007059",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME0074034",
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "FL",
            "license": "ME90314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oviedo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.