DR. MELISSA B BLACK (NPI# 1114931284) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114931284 |
| Entity Type | Individual |
| Full Name | DR. MELISSA B BLACK |
| Credential | MD |
| Practice Address |
2018 Brookwood Medical Ctr Dr Suite 106b Birmingham AL 35209-6898 |
| Practice Telephone | 2058772589 |
| Practice Fax Number | 2058772037 |
| Mailing Telephone | 2058772589 |
| Mailing Fax Number | 2058772037 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 00018581 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS OF ALABAMA | 51534248 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073631149 | Melissa Olson Black | Specialist/Technologist | 3250 River Road West, Goochland, VA 23063 | 2007-03-27 |
| 1457301921 | Melissa L Black | Optometrist | 1435 E Venice Ave, Suite 110, Venice, FL 34292-3074 | 2006-05-12 |
| 1013538834 | Melissa Margo Black | Registered Nurse | 1215 E Michigan Ave, Lansing, MI 48912-1811 | 2020-05-04 |
| 1144853706 | Melissa Black | Behavior Technician | 7001 W 79th St, Overland Park, KS 66204-3179 | 2020-02-21 |
| 1023652500 | Melissa Lee Black | Counselor | 860 Lynn St, Lebanon, MO 65536-3810 | 2019-10-29 |
| 1225686132 | Melissa M Black | Social Worker | 9150 Sw 87th Ave Ste B100, Miami, FL 33176-2311 | 2019-09-04 |
| 1083195903 | Melissa Black | Developmental Therapist | 9000 S County Road 800 W, Daleville, IN 47334-9420 | 2018-08-28 |
| 1821507757 | Melissa Black | Social Worker | 2212 Hope Mills Rd, Fayetteville, NC 28304-4228 | 2017-09-22 |
| 1982140141 | Melissa Black | Pharmacist | 2046 Ne Waldo Rd, Suite 3100, Gainesville, FL 32609-8975 | 2017-01-12 |
| 1043505993 | Melissa Black | Physical Therapist | 1000 Carondelet Dr, Kansas City, MO 64114-4673 | 2011-06-17 |
| Street Address |
2018 BROOKWOOD MEDICAL CTR DR SUITE 106B |
| City | BIRMINGHAM |
| State | AL |
| Zip Code | 35209-6898 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679554620 | Southern Neurology PC | Neurological Surgery | 2018 Brookwood Medical Ctr Dr, Suite 202, Birmingham, AL 35209-6898 | 2005-11-08 |
| 1417303439 | Frank Brotherton | Psychologist | 2018 Brookwood Medical Ctr Dr, Suite 311, Birmingham, AL 35209-6898 | 2016-05-09 |
| 1518358241 | Wellcare Psychiatric Associates | Psychiatry & Neurology | 2018 Brookwood Medical Ctr Dr, Professional Office Building, Suite 311, Birmingham, AL 35209-6898 | 2015-02-17 |
| 1972930055 | Mirelman Urology, PC | Urology | 2018 Brookwood Medical Ctr Dr, Ste 305, Birmingham, AL 35209-6898 | 2013-10-03 |
| 1750631693 | Brookwood Medical Partners Ent, L.L.C. | Otolaryngology | 2018 Brookwood Medical Ctr Dr, Suite 314, Birmingham, AL 35209-6898 | 2012-09-19 |
| 1689936346 | Katie F. Dixon | Nurse Practitioner | 2018 Brookwood Medical Ctr Dr, Ste. 206, Birmingham, AL 35209-6898 | 2012-06-08 |
| 1407125131 | Tammy D Rowe | Audiologist | 2018 Brookwood Medical Ctr Dr, Suite 205, Birmingham, AL 35209-6898 | 2011-12-27 |
| 1669774592 | Iradj Sooudi, D.m.d., P.C. | Dentist | 2018 Brookwood Medical Ctr Dr, Suite 309, Birmingham, AL 35209-6898 | 2010-11-29 |
| 1669780037 | Leslie M. Kahn | Social Worker | 2018 Brookwood Medical Ctr Dr, Suite 310, Birmingham, AL 35209-6898 | 2010-09-20 |
| 1073837399 | Eric Crowe, M.d., LLC | Psychiatry & Neurology | 2018 Brookwood Medical Ctr Dr, Prof. Office Bldg. Ste. 311, Birmingham, AL 35209-6898 | 2010-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437793510 | Marissa M Mcintyre | Registered Nurse | 3401 Independence Drive, Suite 221, Birmingham, AL 35209 | 2019-11-01 |
| 1093284457 | Patriot Healthcare of Alabama, LLC | Family Medicine | 2045 Brookwood Medical Center Drive, Suite 1, Birmingham, AL 35209 | 2018-11-15 |
| 1164902268 | Lucy Johnston | Physician Assistant | 1602 Woodfern Dr, Homewood, AL 35209 | 2018-08-17 |
| 1881184646 | Wade Louis Grady | Specialist/Technologist | 800 Larkshore Drive, Birmingham, AL 35209 | 2018-05-16 |
| 1154823029 | Taylor Payne | Physical Medicine & Rehabilitation | 109 Devon Dr, Birmingham, AL 35209 | 2018-03-06 |
| 1396251542 | 1st America Infusion Services LLC | Durable Medical Equipment & Medical Supplies | 120 Oxmoor Blvd Ste 100, Birmingham, AL 35209 | 2017-12-26 |
| 1376060954 | Hannah Holloway | Specialist/Technologist | 725 Crest Lane, Birmingham, AL 35209 | 2017-08-24 |
| 1558887463 | Paul A Rhodes | Nurse Practitioner | 631 Beacon Center Office Park, Suite 108, Birmingham, AL 35209 | 2017-08-22 |
| 1538542196 | Proteus Molecular and Clinical Lab LLC | Clinical Medical Laboratory | 218 Summit Pkwy, Suite 250, Homewood, AL 35209 | 2015-07-01 |
| 1124407739 | Randall Alban | Nurse Practitioner | 2100 Southbridge Parkway, Suite 650, Birmingham, AL 35209 | 2015-05-28 |
| Find all providers in zip 35209 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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| 1033765888 | Alabama Regional Medical Services | Family Medicine | 2800 Wilson Rd Sw, Birmingham, AL 35221-1303 | 2019-08-16 |
| 1104326925 | Alabama Regional Medical Services | Family Medicine | 3200 27th St N Ste C, Birmingham, AL 35207-4554 | 2018-02-19 |
| 1053832089 | Medhelp Shelby, LLC | Family Medicine | 3143 Pelham Parkway, Birmingham, AL 35214 | 2017-06-29 |
| 1740718006 | Alabama Regional Medical Services | Family Medicine | 921 2nd Ave N, Birmingham, AL 35203-3019 | 2017-05-31 |
| 1902333974 | Liberty Wellness Services | Family Medicine | 420 20th St N Ste 2200, Birmingham, AL 35203-3261 | 2017-05-22 |
| 1205361912 | St Vincents Primary Care Patchwork Farms LLC | Family Medicine | 3056 Healthy Way, Suite 100, Birmingham, AL 35243-2434 | 2017-05-01 |
| 1669926861 | My E-physicians, PC | Family Medicine | 1381 Birmingham Blvd, Birmingham, MI 48009-1997 | 2016-08-05 |
| 1740646181 | Ksenia Nikolayevna Blinnikova | Family Medicine | 1201 11th Ave S Ste 410, Birmingham, AL 35205-3423 | 2016-01-14 |
| Find all providers in BIRMINGHAM | ||||
| City | BIRMINGHAM |
| Zip Code | 35209 |
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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.