Richard Allan Block, MD

Primary specialty

SpecialistTaxonomy code 174400000X

Practice address

1160 N Green Bay Rd
Lake Forest, IL 60045-1104

Phone

(847) 234-5296

NPI assigned

Apr 25, 2006

Last updated

Jan 2, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Silverton Health

  dba Legacy Molalla Family Medicine

  • Clinic/Center
  • Molalla, OR
  • NPI 1861116055
  NPD (past)

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1851357206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 N GREEN BAY RD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451104",
            "telephone_number": "847-234-5296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 N GREEN BAY RD",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451104",
            "telephone_number": "847-234-5296"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "452 Welch St",
            "address_purpose": "LOCATION",
            "city": "Silverton",
            "state": "OR",
            "postal_code": "973811934",
            "country_code": "US",
            "telephone_number": "503-873-8470",
            "fax_number": "503-874-2470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOCK",
        "first_name": "RICHARD",
        "middle_name": "ALLAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022770",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shreenath Bishu, MD
• Brandon Stuart Blackwood, FNP-C
• Mary Ann Blendonohy, M.A./C.C.C.
• Mark Blitstein, M.D.
• Leslie Jay Block, MD
• Anokhi Dalia Bock, D.M.D , M.S.D.
• Derek James Bock, D.M.D., M.S.
• Body Fixx
• Diane Boquist
• Bormes Urology, S.C.

• Specialist in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; 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.