DR. JASON W BLACK


Address: 6701 N Charles St, Ste 4105, Baltimore, MD 21204-6808
Phone: 4438493184

DR. JASON W BLACK (NPI# 1245259902) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245259902
Entity Type Individual
Full Name DR. JASON W BLACK
Credential M.D.
Practice Address 6701 N Charles St
Ste 4105
Baltimore
MD 21204-6808
Mailing Address Po Box 41895
Boston
MA 02241-8953
Practice Telephone 4438493184
Enumeration Date 2006-07-19
Last Update Date 2011-12-21
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine D61199 MD Allopathic & Osteopathic Physicians
Y 207QG0300X Family Medicine
Specialization: Geriatric Medicine
D61199 MD Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MD CAREFIRST REGIONAL GBMC S1380079 01
MD CAREFIRST MARYLAND GBMC KJ15/64265301 01
MD 405540300 05

Other Providers JASON BLACK

NPI Name Taxonomy Address Enumeration
1841584752 Jason Black Counselor 7545 Jerez Ct, Carlsbad, CA 92009-7468 2011-06-08
1619161676 Jason Black Marriage & Family Therapist 487 Church Hill Rd Fl 2, Trumbull, CT 06611-3838 2007-09-04
1225221518 Jason Black Chiropractor 8150 N Macarthur Blvd Ste 170, Irving, TX 75063-4314 2007-08-21
1275634032 Jason Alexander Black Dentist 3624 N Hills Dr Ste A103, Austin, TX 78731-3061 2006-09-26
1073587887 Jason A Black Internal Medicine 24680 Jefferson Ave, Ste A, Murrieta, CA 92562-9023 2006-02-16
1306217740 Jason Allen Black Physician Assistant 12605 E 16th Ave, Aurora, CO 80045-2545 2015-10-12
1982017232 Jason Bruce Black Emergency Medicine 801 Ostrum St, Bethlehem, PA 18015-1000 2014-06-04
1194097022 Jason Oliver Black Counselor 615 Shipyard Blvd, Wilmington, NC 28412-6431 2012-02-08
1508029083 Jason L. Black Emergency Medicine 3109 Bienville Blvd, Department of Emergency Medicine, Ocean Springs, MS 39564-4361 2008-07-06
1306013305 Jason L Black Nurse Practitioner 1407 W Baddour Pkwy, Lebanon, TN 37087-2513 2008-05-09

Office Location

Street Address 6701 N CHARLES ST
STE 4105
City BALTIMORE
State MD
Zip Code 21204-6808

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033114699 Douglas Edward Kircher Nurse Anesthetist, Certified Registered 6701 N Charles St, Baltimore, MD 21204-6808 2005-06-20
1083180327 Louise Potter Hanssen Nurse Practitioner 6701 N Charles St, Baltimore, MD 21204-6808 2018-10-14
1568945806 Rita Mallouh Surgery 6701 N Charles St, Baltimore, MD 21204-6881 2018-09-12
1609361880 Margaret Craun Occupational Therapist 6701 N Charles St, Baltimore, MD 21204 2018-06-29
1639687163 Omolara Olasimbo Physician Assistant 6701 N Charles St, Baltimore, MD 21204-6808 2018-01-18
1235640509 Marissa Ann Kennell Physician Assistant 6701 N Charles St, Baltimore, MD 21204-6808 2017-10-13
1760907497 Carine Marie Cattier Physician Assistant 6701 N Charles St, Baltimore, MD 21204-6808 2017-08-03
1134656408 Sherrie Onte Oladapo Nurse Anesthetist, Certified Registered 6701 N Charles St, Baltimore, MD 21204-6808 2017-05-17
1902343825 Kathryn Woods Registered Nurse 6701 N Charles St, Baltimore, MD 21204-6808 2017-01-30
1306382973 Anne Parks Physician Assistant 6701 N Charles St, Baltimore, MD 21204-6808 2017-01-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1194347575 Sheppard Pratt Non Contracted Services, LLC Psychiatry & Neurology 6525 N. Charles Street, Gibson Building, Towson, MD 21204 2020-05-08
1578104428 Debra James Counselor 6901 N. Charles Street, Towson, MD 21204 2019-10-02
1235696808 Sarita Hinton Social Worker 300 Allegheny Ave Ste 101, Baltimore, MD 21204 2019-03-01
1952883159 Peace,llc Social Worker 304 W. Chesapeake Ave, Towson, MD 21204 2018-09-04
1841772654 Hannah Kimberly Jefferson Acupuncturist 7407 York Road, Towson, MD 21204 2018-08-29
1699255216 Samantha Ann Rogers Nurse Practitioner 222 Bosley Avenue, Suite C3, Towson, MD 21204 2018-08-14
1750867560 Angela Michelle Hester Nurse Practitioner 6525 N Charles St #085, Towson, MD 21204 2018-07-15
1043729098 Communication Apptitude Inc. Speech-Language Pathologist 7400 York Road, Suite 231, Towson, MD 21204 2017-09-21
1679090203 Brian Dougherty Acupuncturist 800 Kenilworth Dr, Ste# 828, Towson, MD 21204 2017-08-24
1659891976 Erin Mcgovern Specialist/Technologist Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 2017-06-27
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Taxonomy Information

Taxonomy Code 207QG0300X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Geriatric Medicine

Taxonomy Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://wwwtheabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1336140524 George Hennawi Family Medicine 5601 Loch Raven, Russell Morgan, Baltimore, MD 21239 2005-08-10
1902158678 Bravo Health Advanced Care Center, P.C. Family Medicine 312 Martin Luther King Jr Blvd, Baltimore, MD 21201-1221 2012-10-05
1336217819 James Paul Richardson Family Medicine 900 Caton Ave, Department of Medicine, Sixth Floor, Baltimore, MD 21229-5201 2006-12-01
1235217225 Shari Miura Ling Family Medicine 3001 S Hanover St, Room Nm533, Baltimore, MD 21225-1233 2006-11-01
1912921453 Karen A. Cousins Family Medicine 827 Linden Ave, Baltimore, MD 21201 2006-07-27

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1376735100 Edger V Potter Jr Md Inc Family Medicine 12017 Fort Washington Rd, Fort Washington, MD 20744-6004 2007-08-15
1750595401 Ted Eric Howe Family Medicine 18100 Slade School Rd, Sandy Spring, MD 20860-1313 2007-05-10
1265594493 Andres Salazar Family Medicine 3621 Ligon Rd, Ellicott City, MD 21042-5238 2006-12-14
1497841563 Farzana Ajmal Family Medicine 19731 Executive Park Cir, Germantown, MD 20874-2642 2006-10-05
1942391693 Paul A. Devore Md PC Family Medicine 4203 Queensbury Rd, Hyattsville, MD 20781-1435 2006-09-27
1063445013 Lifestyle Medical Center, Cheryl Brown-christopher M. D., Chartered Family Medicine 116 Defense Hwy Ste 200, Annapolis, MD 21401-7045 2006-07-09
1932135548 Nagji J Sureja Family Medicine 4212 Ridge Rd, Westminster, MD 21157-7849 2006-06-24
1689612236 Raman Tuli, Md, P.C. Family Medicine 10810 Darnestown Rd, Suite 202, Gaithersburg, MD 20878-2675 2006-06-04
1851346423 Arvind D Desai Family Medicine 30 Corporate Center, 10440 Little Patuxent Parkway, Suite 300, Columbia, MD 21044-3648 2006-05-23
1134102775 Cyrus Hamidi Family Medicine 913 Ridgebrook Rd, Suite 312, Sparks, MD 21152-9451 2005-11-29
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Competitor

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City BALTIMORE
Zip Code 21204

Improve Information

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Dataset Information

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.

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