DAVID MICHAEL BLACK (NPI# 1245205228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1245205228 |
Entity Type | Individual |
Full Name | DAVID MICHAEL BLACK |
Credential | MD |
Practice Address |
625 9th Ave Ste 210 Longview WA 98632-2465 |
Practice Telephone | 3605013400 |
Practice Fax Number | 3604236862 |
Mailing Telephone | 3605013400 |
Mailing Fax Number | 3604236862 |
Enumeration Date | 2006-02-22 |
Last Update Date | 2014-04-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgery | MD00023497 | WA | Allopathic & Osteopathic Physicians |
Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
MD00024397 | WA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
WA | 1014117 | 05 | |
OR | 178434 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740412410 | David S Black | Counselor | 727 W 21st St, Laurel, MS 39440-2235 | 2009-08-14 |
1053536417 | David Black | Technician/Technologist | 1123 Woodbank Dr, Seabrook, TX 77586-4014 | 2007-04-13 |
1316007123 | David C Black | Chiropractor | 234 S. Sandusky Ave, Bucyrus, OH 44820 | 2006-12-11 |
1013015015 | David Dow Black IIi | Chiropractor | 799 Main Street North, Cornelia, GA 30531 | 2006-09-21 |
1518989730 | David E Black | Dentist | 1335 Hardy Rd, Vinton, VA 24179-2201 | 2006-07-24 |
1295756682 | David Joseph Black | Family Medicine | 720 Sw 2nd Ave Ste 206, Gainesville, FL 32601-1210 | 2006-07-21 |
1235133679 | David L Black | Orthopaedic Surgery | 3105 Mcclelland Blvd, Joplin, MO 64804-1640 | 2005-06-13 |
1164874145 | David Detweiler Black | Dentist | 3550 Paxton St, Harrisburg, PA 17111-1414 | 2016-07-01 |
1831547603 | David Black | Nurse Practitioner | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2016-06-02 |
1487918280 | David Martin Black | Emergency Medicine | 1500 E. Medical Center Drive, B1-380 Tc, Spc 5305, Ann Arbor, MI 48109-5305 | 2012-06-27 |
Street Address |
625 9TH AVE STE 210 |
City | LONGVIEW |
State | WA |
Zip Code | 98632-2465 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285632919 | Patrick M Lassen | Urology | 625 9th Ave, Suite 120, Longview, WA 98632-2464 | 2005-07-07 |
1356640312 | Brittney Higa | Physical Therapist | 625 9th Ave, Suite 220, Longview, WA 98632-2464 | 2011-03-16 |
1891012316 | Providence Health & Services - Oregon | Clinic/Center | 625 9th Ave, Suite 120, Longview, WA 98632-2465 | 2010-04-23 |
1043414741 | Tony C Lin | Orthopaedic Surgery | 625 9th Ave, Ste 210, Longview, WA 98632-2464 | 2007-06-14 |
1063623429 | Aaron C Varney | Occupational Therapist | 625 9th Ave, Suite 220, Longview, WA 98632 | 2007-05-25 |
1750481453 | Longview Surgical Center LLC | Clinic/Center | 625 9th Ave, Suite #110, Longview, WA 98632 | 2006-09-22 |
1588688402 | John Thomas Mansfield | Urology | 625 9th Ave, Suite 120, Longview, WA 98632-2464 | 2006-07-26 |
1366492795 | David Maligro | Physician Assistant | 625 9th Ave, Ste 210, Longview, WA 98632-2465 | 2006-05-10 |
1225003213 | William Taylor Turner | Orthopaedic Surgery | 625 9th Ave, Ste 210, Longview, WA 98632-2465 | 2006-02-22 |
1891760211 | Bruce Gragg Blackstone | Orthopaedic Surgery | 625 9th Ave, Suite 210, Longview, WA 98632-2465 | 2006-02-20 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851992366 | Honor Senior Care LLC | Home Health Aide | 1135 3rd Ave, Ste S101, Longview, WA 98632 | 2020-11-03 |
1417416728 | Sam Wise | Dentist | 1538 11th Ave Lowr Columbia, Longview, WA 98632 | 2019-03-16 |
1053870717 | Matthew Johnson | Physician Assistant | 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 | 2019-03-12 |
1295205367 | Abid Valji | Occupational Therapist | Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 | 2018-11-30 |
1184106437 | Peacehealth | Durable Medical Equipment & Medical Supplies | Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 | 2018-09-04 |
1982186318 | Linda Joan Mason | Licensed Practical Nurse | 1153 23rd Ave, Longview, WA 98632 | 2018-09-01 |
1891291910 | Ellen Sumner Hornbeak | Physical Therapist | 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 | 2018-04-05 |
1700399961 | Johnna Joyce Knapp | Speech-Language Pathologist | 2615 Lilac St, Longview, WA 98632 | 2017-11-09 |
1841711868 | Deborah Annette Burzynski | Registered Nurse | 1057 12th Avenue, Longview, WA 98632 | 2017-06-29 |
1598291122 | Cheyenne West | Counselor | 1616 10th Avenue, Longview, WA 98632 | 2017-05-02 |
Find all providers in zip 98632 |
Taxonomy Code | 207XS0106X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Hand Surgery |
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
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 Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326564790 | Proliance Surgeons, Inc., P.s | Orthopaedic Surgery | 6808 220th St Sw Ste 200, Mountlake Terrace, WA 98043-2187 | 2017-08-17 |
1689914541 | Sound Hand and Orthopedics, Pllc | Orthopaedic Surgery | 901 Boren Ave Ste 900, Seattle, WA 98104-3596 | 2013-02-28 |
1083831549 | Eugene Chan Farng | Orthopaedic Surgery | 4245 Roosevelt Way Ne # 354740, Seattle, WA 98105-6008 | 2007-04-19 |
1104942036 | Steven L Summerfield Md Inc Ps | Orthopaedic Surgery | 4361 Talbot Rd S Ste 102, Renton, WA 98055-6226 | 2007-03-22 |
1750450490 | Ghalib A. Husseini | Orthopaedic Surgery | 4446 Eld Ln Nw, Olympia, WA 98502-8806 | 2006-11-07 |
1467493890 | Northwest Hand Specialists, Inc., P.s. | Orthopaedic Surgery | 19930 Ballinger Way Ne, Shoreline, WA 98155-1223 | 2006-06-09 |
1437102274 | Strait Orthopedic Specialists. Ps | Orthopaedic Surgery | 832 Georgiana St, Port Angeles, WA 98362-3512 | 2006-05-19 |
1871574624 | John A Miyano | Orthopaedic Surgery | 600 Broadway, Suite 440, Seattle, WA 98122 | 2005-11-09 |
1790293173 | Bellevue Orthopedic Physicians Pllc | Orthopaedic Surgery | 1200 112th Ave Ne Ste C210, Bellevue, WA 98004 | 2018-01-19 |
1174036826 | Bellevue Orthopedic Physicians Pllc | Orthopaedic Surgery | 1200 112th Ave Ne Ste C210, Bellevue, WA 98004 | 2017-11-15 |
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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.