Individual provider Active NPI

Jennifer Michelle Block

  • Surgical Physician Assistant
  • Baton Rouge, LA
National Provider Identifier
1770689333
Registry record updated Sep 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA.200100 Issued in LA
Practice address
10101 Park Rowe Ave Ste 200
Baton Rouge, LA 70810-1685
Phone
(225) 769-2200
Fax
(225) 768-2185
NPI assigned
Sep 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA.200100 LA Primary

Addresses

Primary practice location

10101 Park Rowe Ave Ste 200
Baton Rouge, LA 70810-1685

Mailing address

10101 Park Rowe Ave Ste 200
Baton Rouge, LA 70810-1685
Phone (225) 769-2200

Other identifiers 1

IdentifierTypeStateIssuer
1099511MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20070928000730 LA Practitioner - Physician Assistant 5597850958 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians

Practice addresses (Care Compare)

1214 Coolidge Blvd
Lafayette, LA 70503-2621
Phone (337) 289-7374

4212 W Congress St
Lafayette, LA 70506-6765

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA.200100LAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Health Ventures Inc CurrentSince Dec 1, 2014 Accepting new patients
Lafayette Health Ventures, Inc Past Accepting new patients

Locations

210 Champagne Blvd
Breaux Bridge, LA 70517
Phone (337) 332-2178

155 Hospital Dr
Ste 301
Lafayette, LA 70503
Phone (337) 232-1010

155 Hospital Dr
Ste 201
Lafayette, LA 70503
Phone (337) 234-7777

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

1214 Coolidge Blvd
Lafayette, LA 70503
Phone (337) 234-9191

Interoperability endpoints

  • Direct secure messaging: jblock1446345@direct.ochsner.org

Organizations & group practices 5

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": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190160000000",
    "number": "1770689333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 PARK ROWE AVE STE 200",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101685",
            "telephone_number": "225-769-2200",
            "fax_number": "225-768-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 PARK ROWE AVE STE 200",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708101685",
            "telephone_number": "225-769-2200",
            "fax_number": "225-768-2185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOCK",
        "first_name": "JENNIFER",
        "middle_name": "MICHELLE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2007-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "LA",
            "license": "PA.200100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1099511",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.