SOUTHEAST KANSAS MEDICAL ASSOCIATES
NPI 1184736563
Nurse Practitioner in Coffeyville, KS

Active since August 31, 2006
1501 W 4TH ST, COFFEYVILLE, KS 67337(620) 251-2400(620) 251-1619 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

  • Organization
  • Nurse Practitioner

About SOUTHEAST KANSAS MEDICAL ASSOCIATES

This page provides the complete NPI Profile along with additional information for Southeast Kansas Medical Associates, a provider established in Coffeyville, Kansas operating as a Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1184736563 assigned on August 2006. The practitioner's primary taxonomy code is 363L00000X with license number 44318 (KS). The provider is registered as an organization and their NPI record was last updated one year ago. Southeast Kansas Medical Associates operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Jerome Block M.d. (Owner)

NPI
1184736563 Verify this NPI
Provider Name
SOUTHEAST KANSAS MEDICAL ASSOCIATES
Entity Type
Organization
Location Address
1501 W 4TH ST COFFEYVILLE, KS 67337
Location Phone
(620) 251-2400
Location Fax
(620) 251-1619
Mailing Address
1501 W 4TH ST COFFEYVILLE, KS 67337
Mailing Phone
(620) 251-2400
Mailing Fax
(620) 251-1619
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-31-2006
Last Update Date
09-11-2025
Code Navigator

A nurse practitioner (NP) like Southeast Kansas Medical Associates is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner

Taxonomy Code
363L00000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
44318
License State
KS
Taxonomy Description
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

0420630 (KS)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JEROME BLOCK M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(620) 251-2400

Reviews for SOUTHEAST KANSAS MEDICAL ASSOCIATES

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Clinical Medical Laboratory
1501 W 4TH ST
COFFEYVILLE, KS 67337
Orthopaedic Surgery
1501 W 4TH ST
COFFEYVILLE, KS 67337

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184736563, enumerated as an "organization" on August 31, 2006.

The provider is located at 1501 W 4TH ST COFFEYVILLE, KS 67337 and the phone number is (620) 251-2400.

Nurse Practitioner with taxonomy code 363L00000X.