JEFFREY BLACK


Address: 2222 Welborn St, Dallas, TX 75219-3924
Phone: 2145598596

JEFFREY BLACK (NPI# 1265854905) 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) 1265854905
Entity Type Individual
Full Name JEFFREY BLACK
Practice Address 2222 Welborn St
Dallas
TX 75219-3924
Practice Telephone 2145598596
Practice Fax Number 2145597808
Enumeration Date 2014-01-15
Last Update Date 2014-01-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0006X Pediatrics
Specialization: Developmental – Behavioral Pediatrics
H8583 TX Allopathic & Osteopathic Physicians

Other Providers JEFFREY BLACK

NPI Name Taxonomy Address Enumeration
1235419896 Jeffrey Allen Black Pharmacist 1925 Zero St, Fort Smith, AR 72901-8415 2011-08-26
1760474035 Jeffrey L. Black Radiology 418 30th St, Oakland, CA 94609-3302 2005-08-22
1336646629 Jeffrey Ryne Black General Practice 625 19th St S, Birmingham, AL 35233-1900 2018-04-12
1770920894 Jeffrey Black Technician 700 Chief Eddie Hoffman Highway, Bethel, AK 99559-0528 2013-05-30
1700957990 Jeffrey Lane Black Emergency Medicine 1717 S Utica Ave Ste A, Tulsa, OK 74104-5346 2006-11-11
1538137112 Jeffrey B Black Family Medicine 7205 265th St Nw, Stanwood, WA 98292-6221 2006-03-09

Office Location

Street Address 2222 WELBORN ST
City DALLAS
State TX
Zip Code 75219-3924

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710982988 Jean Oldham Wall Anesthesiology 2222 Welborn St, Dallas, TX 75219-3924 2005-06-15
1730796137 Carissa Stoddard Physical Therapist 2222 Welborn St, Dallas, TX 75219-3924 2020-09-29
1831704949 Ronni Lee Rowe Occupational Therapist 2222 Welborn St, Dallas, TX 75219-3924 2020-09-15
1952945263 Katie Edwards Orthotist 2222 Welborn St, Dallas, TX 75219-3924 2019-10-30
1033752555 Kristiana Rhae Kiessling Orthotist 2222 Welborn St, Dallas, TX 75219-3924 2019-10-28
1033767611 Christine Grohs Agerlid Nurse Practitioner 2222 Welborn St, Dallas, TX 75219-3924 2019-08-28
1669026050 Kristen Anne Lord Nurse Practitioner 2222 Welborn St, Dallas, TX 75219-3924 2019-07-24
1023660545 Lindsay Chiu Physical Therapist 2222 Welborn St, Dallas, TX 75219-3924 2019-07-15
1649832296 Kayla Clem Physical Therapist 2222 Welborn St, Dallas, TX 75219-3924 2019-07-03
1952963589 Elissa Rae Curtis Occupational Therapist 2222 Welborn St, Dallas, TX 75219-3924 2019-07-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1700421666 Jennifer Henry Furlong Counselor 3500 Oak Lawn Ave Ste 720, Dallas, TX 75219 2019-11-14
1174082150 Cmdpn Medical Group of Texas, P.a. Clinic/Center 3838 Oak Lawn Ave, Suite 1000, Pmb 1123, Dallas, TX 75219 2019-03-18
1245700871 Reginald Deloatch Day Training/Habilitation Specialist 4123 Cedar Springs Roafd, Apt. 2332, Dallas, TX 75219 2018-11-27
1255815429 Elk Monitoring,pllc Electrodiagnostic Medicine 4848 Lemmon Ave Suite 100 #321, Highland Park, TX 75219 2018-09-24
1255811154 Matias Haller Physical Therapist 3131 Rurtle Creek Blvd, #615, Dallas, TX 75219 2018-08-20
1750861795 Darya Semenyuk Counselor 3720 Rawlins St. Suite I, Dallas, TX 75219 2018-08-20
1144716580 My Health & Homecare Transportation Inc Non-emergency Medical Transport (VAN) 3710 Rawlins St Ste 1420, Dallas, TX 75219 2018-07-09
1750876785 David Dwayne Weir Registered Nurse 3883 Turtle Creek Blvd Apt 818, Dallas, TX 75219 2018-06-22
1053802264 Stem Cell Pros LLC Durable Medical Equipment & Medical Supplies 4100 Harry Hines Blvd Ste 300, Dallas, TX 75219 2018-05-23
1346749231 White Dental Limited Company Pllc Clinic/Center 3878 Oak Lawn Avenue Suite 310, Dallas, TX 75219 2018-02-06
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Taxonomy Information

Taxonomy Code 2080P0006X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Developmental – Behavioral Pediatrics

Taxonomy Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699987651 Peter Campbell Ray Pediatrics 8300 Douglas Ave Ste 731, Dallas, TX 75225-5825 2007-05-03
1821416520 Elisabeth Vennecia Jackson Pediatrics 2222 Welborn St, Texas Scottish Rite Hospital for Children, Dallas, TX 75219-3924 2014-03-31
1700208238 Marsha Bainbridge Carpenter Pediatrics 2222 Welborn St, Scottish Rite Hosp--center for Dyslexia, Dallas, TX 75219-3924 2014-01-17
1366746281 Fadiyla Dopwell Louis-obike Pediatrics 12655 N Central Expy, Suite 300, Dallas, TX 75243-1700 2011-01-06
1023038502 Lisa W Genecov Pediatrics 7777 Forest Ln, Suite B 326, Dallas, TX 75230-2505 2006-07-20
1013937598 Genecov Physician Group Pediatrics 7777 Forest Ln, Suite B326, Dallas, TX 75230-2505 2006-07-20
1346203247 Cathleen Doman Roberts Pediatrics 12655 N Central Expy, Suite 300, Dallas, TX 75243-1700 2006-04-11

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1932615234 Pediatrics Plus Therapy Pediatrics 6025 Sports Village Road, Frisco, TX 75033 2017-12-21
1508371824 Kamvic Home Health Care LLC Pediatrics 21111 Barton Hollow Ln, Richmond, TX 77407-6416 2017-12-08
1962838458 Sheri Michelle Ravenscroft Pediatrics 5359 N Ih 35 Frontage Rd, Ste 100, Austin, TX 78723-6300 2013-09-17
1467650564 Charles Mike Rios Pediatrics 1100 S. Main St. #103, Grapevine, TX 76051 2007-07-10
1891908901 Harold Mark Welch Jr. Pediatrics 3019 Medlin Dr, Suite 100, Arlington, TX 76015-2307 2007-05-07
1447384706 Julie Jacob Pediatrics 8501 Wade Blvd Ste 330, Frisco, TX 75034-6264 2007-03-16
1134285430 Jeri L Penkava Pediatrics 1370 Pantheon Way Ste 250, San Antonio, TX 78232-2290 2006-12-29
1598873135 Beatrice Thetgyi Ting Pediatrics 3607 Rivera Ave, El Paso, TX 79905-2415 2006-08-25
1699718205 Heidi A Castillo Pediatrics 6701 Fannin Street, Suite 1530, Houston, TX 77030 2006-06-13
1669426490 Timothy P. Bohan Pediatrics 6400 Fannin Street, Suite 2740, Houston, TX 77030-1539 2006-05-19
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Competitor

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City DALLAS
Zip Code 75219

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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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