DR. JERALD JOSEPH BLOCK (NPI# 1598891319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598891319 |
| Entity Type | Individual |
| Full Name | DR. JERALD JOSEPH BLOCK |
| Credential | MD |
| Practice Address |
51 Sw Lee St Newport OR 97365-3823 |
| Mailing Address |
36 Sw Nye St Newport OR 97365-3821 |
| Practice Telephone | 5415745960 |
| Practice Fax Number | 5412650601 |
| Mailing Telephone | 5412654179 |
| Mailing Fax Number | 5412654194 |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2018-11-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
MD22033 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | DEA | BB5844053 | 01 |
| OR | LICENSE | MD22033 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1314 Nw Irving St, Suite 508, Portland, OR 972092721 | 5032414882 | 5035178841 |
| 998 Library Ct, Oregon City, OR 970454041 | 5036558471 | 5036558428 |
| 4422 Ne Devils Lake Blvd Ste 2, Lincoln City, OR 973675000 | 5412654947 | 5419940261 |
| Street Address |
51 SW LEE ST |
| City | NEWPORT |
| State | OR |
| Zip Code | 97365-3823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376525113 | Marie Ann Laper | Social Worker | 51 Sw Lee St, Newport, OR 97365-3823 | 2005-11-17 |
| 1861023947 | Gwyn Denise Kingery | Counselor | 51 Sw Lee St, Newport, OR 97365-3823 | 2020-01-28 |
| 1013547371 | Jase Eli Pecanha | Counselor | 51 Sw Lee St, Newport, OR 97365-3823 | 2020-01-24 |
| 1083244891 | Diana Xalteno Vasquez | Case Manager/Care Coordinator | 51 Sw Lee St, Newport, OR 97365-3823 | 2020-01-21 |
| 1841835378 | Eric Viola | Counselor | 51 Sw Lee St, Newport, OR 97365-3823 | 2019-11-07 |
| 1255986287 | Amanda N Schmerber | Case Manager/Care Coordinator | 51 Sw Lee St, Newport, OR 97365-3823 | 2019-08-06 |
| 1972065993 | Mario Alberto Roldan De Luna | Counselor | 51 Sw Lee St, Newport, OR 97365-3823 | 2019-04-01 |
| 1538624614 | Shandi Marceen Hoey | Counselor | 51 Sw Lee St, Newport, OR 97365-3823 | 2019-02-04 |
| 1790249183 | Katja Brown | Case Manager/Care Coordinator | 51 Sw Lee St, Newport, OR 97365-3823 | 2019-01-30 |
| 1841767068 | Treva Lynn Leslie | Counselor | 51 Sw Lee St, Newport, OR 97365-3823 | 2018-10-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063036101 | Integrity Women's Health & Wellness, LLC | Obstetrics & Gynecology | 594 Se Running Springs, Newport, OR 97365 | 2020-06-04 |
| 1538799333 | Big Creek Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 1664 N Coast Hwy, Newport, OR 97365 | 2020-01-21 |
| 1710527999 | Costal Support Services | Case Management | 125 Se Mast Ave #55, Lincoln City, OR 97365 | 2020-01-15 |
| 1821650169 | Darren Lee Taylor | Peer Specialist | 35 North Cottage Street, Newport, OR 97365 | 2019-07-08 |
| 1518405091 | The City of Newport 60 Plus Activity Center | Clinic/Center | 20 Se 2nd St, Newport, OR 97365 | 2017-02-06 |
| 1982020384 | Kristine Elizabeth Foley | Dental Hygienist | 123 Se Douglas Street, Family Dental, Newport, OR 97365 | 2014-03-10 |
| 1245655075 | Catherine Marie Vickers | Registered Nurse | 36 Sw Nye Street, Lincoln County Health and Human Services, Newport, OR 97365 | 2014-03-04 |
| 1114295342 | Donna Cressy | Physical Therapist | 140 Nw 4th Street, Newport, OR 97365 | 2011-12-02 |
| 1063647949 | Wrazen & Rash PC, Physicians | Pediatrics | 775 Sw 9th Street, Annex A, Newport, OR 97365 | 2009-05-21 |
| 1194950048 | Stephen Macbain Burns, Md, PC | Pediatrics | 775 Sw 9th Street, Annex A, Newport, OR 97365 | 2009-05-21 |
| Find all providers in zip 97365 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508186354 | Elizabeth Niemiec | Psychiatry & Neurology | 18 Greenough Pl, Newport, RI 02840-2752 | 2010-06-03 |
| 1710047105 | Richard D Edelstein | Psychiatry & Neurology | 154 Duchess Street, Newport, VT 05855-0724 | 2006-12-08 |
| 1275567794 | Heidi Fowler | Psychiatry & Neurology | Navy Medicine Readiness and Training Command, 43 Smith Road, Newport, RI 02842 | 2006-07-10 |
| 1003173048 | Christine Leddy Greenia | Psychiatry & Neurology | 11 Friendship St, Newport, RI 02840-2209 | 2012-04-16 |
| 1093920266 | Elliot Martin Kaufman | Psychiatry & Neurology | 154 Duchess Ave, Newport, VT 05855-5516 | 2007-05-11 |
| 1962533877 | North Country Hospital and Health Center Inc | Psychiatry & Neurology | 189 Prouty Dr, Newport, VT 05855-9326 | 2007-03-09 |
| 1407918030 | Heather Morse Hall | Psychiatry & Neurology | 19 Friendship St, Suite G-20, Newport, RI 02840-2200 | 2006-12-13 |
| 1023185675 | Christopher M. Erstling | Psychiatry & Neurology | 11 Friendship St, Newport, RI 02840-2209 | 2006-11-29 |
| 1538276290 | Jean F. Pointon | Psychiatry & Neurology | 36 Sw Nye St, Newport, OR 97365-3821 | 2006-08-25 |
| 1447364559 | Farrel Ivan Klein | Psychiatry & Neurology | 19 Friendship St, G20, Newport, RI 02840-2272 | 2006-08-18 |
| Find all providers in NEWPORT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.