MR. CORY W BLOCKER


Address: 1200 N One Mile Rd, Dexter, MO 63841-1000
Phone: 5736247575

MR. CORY W BLOCKER (NPI# 1396945663) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1396945663
Entity Type Individual
Full Name MR. CORY W BLOCKER
Credential PNP
Practice Address 1200 N One Mile Rd
Dexter
MO 63841-1000
Mailing Address 3100 Oak Grove Rd
Poplar Bluff
MO 63901-1908
Practice Telephone 5736247575
Mailing Telephone 5736243600
Enumeration Date 2007-07-24
Last Update Date 2015-10-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
148700 MO Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
MO MISSOURI PEDIATRIC NURSE 148700 01

Office Location

Street Address 1200 N ONE MILE RD
City DEXTER
State MO
Zip Code 63841-1000

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578557872 Mina K Massey Family Medicine 1200 N One Mile Rd, Dexter, MO 63841-1000 2005-09-01
1255801247 Kristin Suzanne Wheeler Guethle Nurse Practitioner 1200 N One Mile Rd, Dexter, MO 63841-1000 2018-12-03
1013493865 Kerri Crawley Nurse Practitioner 1200 N One Mile Rd, Dexter, MO 63841-1000 2018-07-16
1578080214 Stoddard Emergency Group, LLC Physician Assistant 1200 N One Mile Rd, Dexter, MO 63841-1000 2017-08-24
1851765614 Leah Legrand Nurse Practitioner 1200 N One Mile Rd, Dexter, MO 63841-1000 2015-11-17
1841685989 Angela Weiss Nurse Practitioner 1200 N One Mile Rd, Dexter, MO 63841-1000 2015-04-06
1356762132 Meramec Emergency Physicians, LLP Hospitalist 1200 N One Mile Rd, Dexter, MO 63841-1000 2013-12-23
1407100944 Tory L Sherman Physician Assistant 1200 N One Mile Rd, Dexter, MO 63841-1000 2012-11-06
1386802023 Southeast Health Center of Stoddard County, LLC Medicare Defined Swing Bed Unit 1200 N One Mile Rd, Dexter, MO 63841-1000 2008-05-29
1790828812 Southeast Health Center of Stoddard County, LLC Clinic/Center 1200 N One Mile Rd, Dexter, MO 63841-1000 2007-02-15
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1417558941 Christa Renee Mcbroom Pharmacist 2025 Business Hwy 60w, Dexter, MO 63841 2020-11-02
1306230107 David Mulcahy Pharmacist 904 West Business Hwy 60, Dexter, MO 63841 2015-03-19
1285038935 Clearwater In-home Care, Inc. Technician 1525 Business Highway 60, Suite C, Dexter, MO 63841 2014-10-09
1720404064 William Simmons Pharmacist 904 W Business Highway 60, Dexter, MO 63841 2014-03-11
1134498736 Susan Caroline Jones Physical Therapist 913 West Business Hwy 60, Dexter, MO 63841 2011-12-28
1427350594 Dexter Hospital LLC Family Medicine 2025 W Bus Hwy 60, Dexter, MO 63841 2010-11-23
1992028112 Hilda Fuwell's Residential Care LLC Clinic/Center 900 South One Mile Road, Dexter, MO 63841 2010-03-02
1508197047 Super D Drugs Acquisition Co Durable Medical Equipment & Medical Supplies 907 West Business Hwy. 60, Dexter, MO 63841 2010-01-22
1215262183 Ozark Wellness & Athletic Club Physical Therapist 1521 W Bus. Hwy. 60, Dexter, MO 63841 2009-10-12
1225268618 Practice Tee, LLC Family Medicine 1523 W Business Hwy 60, Dexter, MO 63841 2009-07-20
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1467080705 Jessica Nicole Heichel Nurse Practitioner 7729 Brass Creek Ct, Dexter, MI 48130-9384 2020-03-31
1336404052 Tonya Mcclain Nurse Practitioner 610 N One Mile Rd, Dexter, MO 63841-2539 2012-07-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1689203390 Kathleen Rippe Dowd Nurse Practitioner 59 Pointer Ln, Saint Louis, MO 63124-2018 2020-04-04
1871126391 Kelsey Lonergan Nurse Practitioner 10915 Three Court Dr, Saint Louis, MO 63123-5959 2020-02-13
1518599778 Eva Maria Gallina Nurse Practitioner 4525 Mid Rivers Mall Dr Ste 110, Saint Peters, MO 63376-2820 2020-02-06
1073150017 Zoe Marie Wadsworth Nurse Practitioner 12255 Depaul Dr Suite 300, Bridgeton, MO 63044 2019-12-10
1003383324 Jennifer Marie Jacobi Nurse Practitioner 1 Childrens Pl Fl 12, Saint Louis, MO 63110-1002 2018-10-24
1902315609 Regina Victoria Maloney Nurse Practitioner 851 E 5th St Ste 300, Washington, MO 63090-3130 2017-09-25
1093235368 Sally Williams Ehrich Nurse Practitioner 1004 Carondelet Dr Ste 350, Kansas City, MO 64114-4801 2017-06-27
1366995789 Shawn Danielle Neyens Nurse Practitioner 303 N Keene St Ste 404, Columbia, MO 65201-7193 2016-08-02
1114381563 Kathleen B Shaughnessy Nurse Practitioner 9580 Watson Rd, Ste A, Saint Louis, MO 63126-1539 2016-04-12
1518327071 Lauren Sommero Nurse Practitioner 1516 Bridge School Road, Rolla, MO 65401-8115 2016-02-26
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Competitor

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City DEXTER
Zip Code 63841

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Dataset Information

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.

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