CHRISTINE E BLACK (NPI# 1013282169) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013282169 |
| Entity Type | Individual |
| Full Name | CHRISTINE E BLACK |
| Credential | MD |
| Practice Address |
500 S 11th Ave Ste 204 Pocatello ID 83201-4878 |
| Mailing Address |
500 S 11th Ave Ste 400 Pocatello ID 83201-4880 |
| Practice Telephone | 2082323655 |
| Mailing Telephone | 2082327862 |
| Mailing Fax Number | 2082322408 |
| Enumeration Date | 2012-03-21 |
| Last Update Date | 2020-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | DR.0056998 | CO | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Lincoln St, Suite 203, Fort Morgan, CO 807013290 | 9705420390 | 9705420394 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831710458 | Christine Maire Black | Nurse Practitioner | 21141 Sterling Ave Unit 1, Georgetown, DE 19947-5571 | 2020-05-05 |
| 1932650702 | Christine Black | Specialist/Technologist | 1450 Alta Vista St, Dubuque, IA 52001-4327 | 2016-10-17 |
| 1184026528 | Christine Black | Counselor | 408 Virginia St, Paris, TN 38242-5341 | 2014-09-17 |
| 1740525302 | Christine Warner Black | Counselor | 750 N Freedom Blvd, Provo, UT 84601-1677 | 2012-12-06 |
| 1073814828 | Christine Marie Black | Social Worker | 1 Kwan Plz, Potosi, MO 63664-1435 | 2010-11-10 |
| 1427361468 | Christine Black | Physical Therapist | 527 Pocket Rd, Hurt, VA 24563-2023 | 2010-07-20 |
| Street Address |
500 S 11TH AVE STE 204 |
| City | POCATELLO |
| State | ID |
| Zip Code | 83201-4878 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447316799 | Gregory Daniel Kostur | Pediatrics | 500 S 11th Ave Ste 204, Pocatello, ID 83201-4878 | 2006-12-29 |
| 1902456262 | Ronda Edgley | Nurse Practitioner | 500 S 11th Ave Ste 204, Pocatello, ID 83201-4878 | 2019-09-18 |
| 1942772223 | Health West, Inc. | Family Medicine | 500 S 11th Ave Ste 204, Pocatello, ID 83201-4878 | 2018-12-26 |
| 1366750929 | Kendra J Westerhaus | Psychologist | 500 S 11th Ave Ste 204, Pocatello, ID 83201-4878 | 2010-09-16 |
| 1255520599 | Yvonne Perle Treece | Specialist | 500 S 11th Ave Ste 204, Pocatello, ID 83201-4878 | 2007-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235765330 | Timothy Palmer | Social Worker | 400 S 11th Ave, Ste 204, Pocatello, ID 83201 | 2020-03-20 |
| 1225687759 | Hanna Percy | Nurse Practitioner | 1151 Hospital Way Ste 201, Pocatello, ID 83201 | 2019-09-07 |
| 1659935195 | Carol Jane Dillon | Counselor | 707 North 7th Avenue, Suite D, Pocatello, ID 83201 | 2019-04-30 |
| 1154801595 | Mv Pocatello Ent, LLC | Otolaryngology | 333 N 18th Ave Ste B3, Pocatello, ID 83201 | 2018-08-15 |
| 1306344346 | Ruth Anne Patton | Social Worker | 850 E Young St, Pocatello, ID 83201 | 2018-01-24 |
| 1598289274 | Lucas Alexander Bryan | Specialist/Technologist | 1535 E Terry St, Pocatello, ID 83201 | 2017-08-03 |
| 1205365632 | Geno Alan Giovanini | Denturist | 115 S. 15th Ave. Ste. D, Pocatello, ID 83201 | 2017-06-08 |
| 1518415942 | Kelli Fries-geslin | Nurse Practitioner | 500 South 11 Ave Suite 400, Pocatello, ID 83201 | 2016-09-14 |
| 1346797842 | Shailyn Jenkins | Specialist/Technologist | 665 Warren Ave., Pocatello, ID 83201 | 2016-09-01 |
| 1992258149 | Christopher Jared White | Social Worker | 300 N 7th Ave, Pocatello, ID 83201 | 2016-07-24 |
| Find all providers in zip 83201 | ||||
| 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 |
|---|---|---|---|---|
| 1659887511 | Bmh Inc. | Obstetrics & Gynecology | 777 Hospital Way Ste 300, Pocatello, ID 83201-5176 | 2017-12-14 |
| 1669753109 | Care LLC | Obstetrics & Gynecology | 500 S 11th Ave, Ste 201, Pocatello, ID 83201-4835 | 2011-08-29 |
| 1790948040 | Bmh Inc | Obstetrics & Gynecology | 1151 Hospital Way Ste D, Suite 201, Pocatello, ID 83201-5091 | 2008-07-08 |
| 1821127077 | Edward A Desano Jr Md Pa | Obstetrics & Gynecology | 755 Hospital Way, B 2, Pocatello, ID 83201-2717 | 2007-03-05 |
| 1366585994 | Timothy J. Ramsden, M. D., P. C. | Obstetrics & Gynecology | 1151 Hospital Way # D, Suite 201, Pocatello, ID 83201-2763 | 2007-02-14 |
| 1972696565 | Michael Gary Jones | Obstetrics & Gynecology | 777 Hospital Way, Bldg A Suite 300, Pocatello, ID 83201-5176 | 2006-10-02 |
| 1801841457 | Cheryl M Callaghan | Obstetrics & Gynecology | 500 S 11th Ave, Suite 201, Pocatello, ID 83201-4835 | 2006-05-23 |
| 1801848221 | Kim Leon Cox | Obstetrics & Gynecology | 777 Hospital Way, Bldg A Suite 300, Pocatello, ID 83201-5175 | 2006-05-16 |
| 1477501930 | Cds,pa | Obstetrics & Gynecology | 777 Hospital Way, Bldg A, Ste 300, Pocatello, ID 83201-5175 | 2006-05-05 |
| 1144200916 | Joel Andrew Carlson | Obstetrics & Gynecology | 777 Hospital Way, Bldg A Suite 300, Pocatello, ID 83201-5176 | 2006-01-18 |
| Find all providers in POCATELLO | ||||
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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.