Provider Demographics
NPI:1376646745
Name:BLOCK, STEVEN M (DPM)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:M
Last Name:BLOCK
Suffix:
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2816 VEACH RD
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-6295
Mailing Address - Country:US
Mailing Address - Phone:270-684-5252
Mailing Address - Fax:270-684-6555
Practice Address - Street 1:1901 LEITCHFIELD RD
Practice Address - Street 2:
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42303-1404
Practice Address - Country:US
Practice Address - Phone:270-684-5252
Practice Address - Fax:270-684-6555
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY0247213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY80002470Medicaid
480030150OtherRAILROAD MEDICARE
U75379Medicare UPIN
4850170001OtherDMERC
U75379Medicare UPIN