Active NPI
J E Block, M.D., Facp
- Nutrition Education Nutritionist
- Tulsa, OK
National Provider Identifier
1952692683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nutrition Education Nutritionist
- Legal business name
- J E BLOCK, M.D., FACP
- Doing business as
- advanced medical weight loss
- Practice address
- 6048 S. Sheridan Rd
Ste B
Tulsa, OK 74145 - Phone
- (918) 591-3891
- Fax
- (918) 895-7887
- NPI assigned
- Apr 28, 2011
- Organization subpart
- Yes
- Parent organization
- INTEGRATION HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Mary Nightingale
- Title
- Office Manager
- Phone
- (918) 591-3891
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutrition Education Nutritionist | 133NN1002X | Primary |
Addresses
Primary practice location
6048 S. Sheridan Rd
Ste B
Tulsa, OK 74145
Mailing address
6048 S. Sheridan Rd
Ste B
Tulsa, OK 74145
Phone (918) 591-3891
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100018500A | Medicaid | OK |
Other names 1
- advanced medical weight loss
National Provider Directory
National Provider Directory- Tax ID family
- Jerry E Block CHTD MD
- Part of
- Jerry E Block CHTD MD
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nurse Practitioner
- Coffeyville, KS
- NPI 1184736563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303948800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1303948800000",
"number": "1952692683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6048 S. SHERIDAN RD",
"address_2": "STE B",
"city": "TULSA",
"state": "OK",
"postal_code": "74145",
"telephone_number": "918-591-3891",
"fax_number": "918-895-7887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6048 S. SHERIDAN RD",
"address_2": "STE B",
"city": "TULSA",
"state": "OK",
"postal_code": "74145",
"telephone_number": "918-591-3891",
"fax_number": "918-895-7887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "J E BLOCK, M.D., FACP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "INTEGRATION HEALTH",
"enumeration_date": "2011-04-28",
"last_updated": "2011-04-28",
"status": "A",
"authorized_official_last_name": "NIGHTINGALE",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "918-591-3891",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "133NN1002X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nutritionist, Nutrition, Education",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100018500A",
"state": "OK"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "advanced medical weight loss",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.