WAYNE S BLOCKER MD PA (NPI# 1487842506) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487842506 |
| Entity Type | Organization |
| Organization Name | WAYNE S BLOCKER MD PA |
| Practice Address |
407 N Parsons Ave Suite 101 Brandon FL 33510-4537 |
| Practice Telephone | 8136819048 |
| Practice Fax Number | 8136530088 |
| Mailing Telephone | 8136819048 |
| Mailing Fax Number | 8136530088 |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2008-05-14 |
| Authorized Official Name | DR. WAYNE S BLOCKER (PHYSICIAN/OWNER) |
| Authorized Official Telephone | 8136819048 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | ME 26545 | FL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE GROUP NUMBER | AI828 | 01 |
| Street Address |
407 N PARSONS AVE SUITE 101 |
| City | BRANDON |
| State | FL |
| Zip Code | 33510-4537 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649274127 | Wayne S. Blocker | Obstetrics & Gynecology | 407 N Parsons Ave, Ste 101, Brandon, FL 33510-4537 | 2005-06-13 |
| 1164695177 | Glenda Gay Vick | Counselor | 407 N Parsons Ave, 104a, Brandon, FL 33510-4537 | 2008-04-10 |
| 1992996557 | Kingsway Medical Center Inc | Pediatrics | 407 N Parsons Ave, Suite 102a, Brandon, FL 33510-4537 | 2007-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215491204 | Juliana Giraldo-isaza | Technician, Other | 1116 Nikki View Dr., Brandon, FL 33510 | 2019-01-24 |
| 1952813511 | Tanya Samuels | Respite Care | 502 Camino Real Court Atp A, Brandon, FL 33510 | 2017-11-03 |
| 1518482462 | Ava Cares, LLC | Assisted Living Facility | 713 Pearl Circle, Brandon, FL 33510 | 2017-08-11 |
| 1790208510 | Gps Pharmacy-tampa LLC | Pharmacy | 2846 Broadway Center Blvd, Brandon, FL 33510 | 2017-07-24 |
| 1356886345 | Marguerita La Cruz | Early Intervention Provider Agency | 1720 Southwind Dr., Brandon, FL 33510 | 2016-12-29 |
| 1215487434 | Cottage Manor, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1706 Cottage Oaks Ct, Brandon, FL 33510 | 2016-10-12 |
| 1558817874 | Tracy Cheri Speech Therapy Services | Speech-Language Pathologist | 701 Hazy Meadow Ct., Brandon, FL 33510 | 2016-08-28 |
| 1144672338 | Brandy Sweet | Licensed Practical Nurse | 221 N Kings Ave, Apt 226, Brandon, FL 33510 | 2016-07-12 |
| 1750733945 | Eddie James Burrell Jr. | Nurse's Aide | 221 N Kings Ave #226, Brandon, FL 33510 | 2016-07-12 |
| 1760842280 | Sunny Sia | Nurse Practitioner | 205 W Morgan St, Brandon, FL 33510 | 2016-02-25 |
| Find all providers in zip 33510 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407092315 | Womens Care Florida LLP | Obstetrics & Gynecology | 619 Eichenfeld Dr, Brandon, FL 33511-5908 | 2008-12-23 |
| 1366628059 | Justin Mitchell Brewer | Obstetrics & Gynecology | 601 Shea Cv, Brandon, MS 39047-6287 | 2008-01-13 |
| 1356542609 | Miriah Beth Denbo | Obstetrics & Gynecology | 515 S. Kings Avenue, Suite 3000, Brandon, FL 33511-6066 | 2007-05-31 |
| 1760465926 | Kelly Raff-anunciato | Obstetrics & Gynecology | 505 Oakfield Drive, Brandon, FL 33511-6007 | 2005-11-22 |
| 1396734448 | Pamela S Hodges | Obstetrics & Gynecology | 401 Oakfield Dr., Brandon, FL 33511 | 2005-10-20 |
| 1386633774 | Jill L. Hechtman | Obstetrics & Gynecology | 505 Oakfield Dr, Brandon, FL 33511-5700 | 2005-10-18 |
| 1720076086 | Nicolas M Colorado | Obstetrics & Gynecology | 507 Oakfield Dr, Brandon, FL 33511-5700 | 2005-10-11 |
| 1881680940 | Keith D Whitehead | Obstetrics & Gynecology | 731 S Parsons Ave, Brandon, FL 33511-6058 | 2005-09-23 |
| 1629064696 | Ignacio Armas | Obstetrics & Gynecology | 116 Parsons Park Dr, Brandon, FL 33511-6066 | 2005-09-23 |
| 1679569966 | Debbie P Spencer | Obstetrics & Gynecology | 401 Oakfield Dr, Brandon, FL 33511-5710 | 2005-09-22 |
| Find all providers in BRANDON | ||||
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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.