Provider Demographics
NPI:1780577429
Name:BLOCK-WHEELER MEDICAL CORPORATION
Entity type:Organization
Organization Name:BLOCK-WHEELER MEDICAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NIKOLAS
Authorized Official - Middle Name:
Authorized Official - Last Name:BLOCK-WHEELER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:415-320-7720
Mailing Address - Street 1:2001 UNION ST STE 480
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94123-4128
Mailing Address - Country:US
Mailing Address - Phone:415-320-7720
Mailing Address - Fax:
Practice Address - Street 1:2001 UNION ST STE 480
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123-4128
Practice Address - Country:US
Practice Address - Phone:415-320-7720
Practice Address - Fax:510-256-0148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic SurgeryGroup - Single Specialty