Active NPI
Jennifer Michelle Block
- Surgical Physician Assistant
- Baton Rouge, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA.200100
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1099511 | Medicaid | LA |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA.200100 | LA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lafayette Health Ventures Inc | Current | 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
- 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.
-
- Family Medicine Physician
- Lafayette, LA
- NPI 1417986092
-
- Emergency Medicine Physician
- Lafayette, LA
- NPI 1801140934
-
- Emergency Medicine Physician
- Baton Rouge, LA
- NPI 1275705998
-
- Anesthesiology Physician
- Jennings, LA
- NPI 1063124568
-
- Internal Medicine Physician
- Lafayette, LA
- NPI 1467687186
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lafayette, LA
- NPI 1275536799
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": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.