Jason Matthew Blocksom, MD
Jason Matthew Blocksom, MD is a Surgery Physician in Indianapolis, Indiana. Licensed in Indiana. Registered with an NPI since 2008.
- Licensed in
- IN
- In the registry since
- 2008
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
8402 Harcourt RdIndianapolis, IN 46260-2074
Phone: (317) 338-6713
Fax: (317) 338-6615
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Plastic and Reconstructive Surgery Physician (primary) | Taxonomy 2086S0122X · Licence 01068126A (IN) |
|---|---|
| Surgery Physician | Taxonomy 208600000X · Licence 01068126A (IN) |
Record details
| NPI number | 1144488495 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | May 22, 2008 |
| Last updated in NPPES | May 25, 2022 |
| Certification date | May 25, 2022 |
| Mailing address | 8402 Harcourt Rd Ste 830, Indianapolis, IN 46260-2096 |
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