JEFFREY RYNE BLACK (NPI# 1336646629) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1336646629 |
Entity Type | Individual |
Full Name | JEFFREY RYNE BLACK |
Credential | MD |
Practice Address |
625 19th St S Birmingham AL 35233-1900 |
Practice Telephone | 2059345135 |
Mailing Telephone | 2059345135 |
Enumeration Date | 2018-04-12 |
Last Update Date | 2020-02-11 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | 38831 | AL | Allopathic & Osteopathic Physicians |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
Address | Telephone Number | Fax Number |
---|---|---|
817 Princeton Ave Sw Ste 106, Birmingham, AL 352111340 | 2057837663 |
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 |
1265854905 | Jeffrey Black | Pediatrics | 2222 Welborn St, Dallas, TX 75219-3924 | 2014-01-15 |
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 |
Street Address |
625 19TH ST S |
City | BIRMINGHAM |
State | AL |
Zip Code | 35233-1900 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992835854 | Niambi Ashaki Horton | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35249-1712 | 2007-03-07 |
1104426998 | Mohamed Morsy Mohamed Morsy | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2020-10-29 |
1861008146 | Ahsan Raza | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2020-09-21 |
1700494200 | Sankalp Arora | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2020-07-21 |
1669080164 | Maria Gabriela Gastanadui Gonzalez | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2020-07-21 |
1861000432 | Hrishikesh Dadhich | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2020-07-20 |
1700494697 | Sanjith Prahas Krishnam | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2020-07-16 |
1457973075 | Joseph Michael Cortopassi Jr. | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2020-05-18 |
1255953360 | Timothy Graham Norwood | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2020-05-12 |
1538780341 | Igor Damasceno Vidal | Student in an Organized Health Care Education/Training Program | 625 19th St S, Birmingham, AL 35233-1900 | 2020-05-04 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821605700 | Motivity Chiropractic | Chiropractor | 2413 2nd Avenue South, Ste 100, Birmingham, AL 35233 | 2020-09-25 |
1477164580 | Rebecca Diane Davis | Physician Assistant | 701 S. 19th St, Lhr 112, Birmingham, AL 35233 | 2020-08-12 |
1972136794 | Faleh Ali Alshanhrani | Student in an Organized Health Care Education/Training Program | Children's of Alabama, 1600 7th Ave South, Birmingham, AL 35233 | 2020-02-20 |
1972149128 | Jessica Lynne Miller | Registered Nurse | 1816 6th Ave South, Birmingham, AL 35233 | 2019-11-22 |
1881156404 | Chalandra Barley | Registered Nurse | 1802 6th Ave S., 7th Floor Sicu, Birmingham, AL 35233 | 2019-04-02 |
1255893004 | Mia Weitman Neustein | Registered Nurse | Uab Wic -- Gynx, 1700 6th Avenue South, Birmingham, AL 35233 | 2019-04-02 |
1457813214 | Tabrisha Love | Registered Nurse | Uab University Hospital 1802 6th Ave S, Birmingham, AL 35233 | 2019-04-02 |
1356809602 | Catherine Mary Verga | Occupational Therapist | 1600 7th Ave. S., Mcwane Building Pt/ot Department, Birmingham, AL 35233 | 2019-03-06 |
1649736752 | Proton International Alabama, LLC | Clinic/Center | 400 20th Street South, Birmingham, AL 35233 | 2019-02-13 |
1447728910 | Eric Jackson | Specialist/Technologist | 1219 6th Ave S, Birmingham, AL 35233 | 2018-11-02 |
Find all providers in zip 35233 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871059212 | Southeast Medical Group LLC | General Practice | 1930 Edwards Lake Rd Ste 138b, Birmingham, AL 35235-3720 | 2019-02-11 |
1558898874 | B Vitality Pllc | General Practice | 3425 Colonnade Pkwy Ste C, Birmingham, AL 35243-2356 | 2017-05-17 |
1588028120 | Carli Erin Calderone | General Practice | 1129 52nd St S, Birmingham, AL 35222-3924 | 2016-04-10 |
1811327463 | Sudha Ramesh | General Practice | 125 20th Street South, Suite 103, Birmingham, AL 35233-3110 | 2013-11-19 |
1972818045 | Frank Jefferson Tombrello | General Practice | 2909 Thornhill Rd, Birmingham, AL 35213-3520 | 2010-08-13 |
1659524379 | Robert Henry Carlson IIi | General Practice | 5454 Overton Rd, Birmingham, AL 35210-4103 | 2008-10-25 |
1104010206 | Richard Leroy Ellis | General Practice | 2657 Park Lane Ct East--unit F, Birmingham, AL 35223 | 2007-08-31 |
1841480993 | Jodel Gazo Jampayas | General Practice | 255 W Oxmoor Rd, Birmingham, AL 35209-6343 | 2007-07-25 |
1083620496 | American Family Care, Inc. | General Practice | 9232 Parkway E, Birmingham, AL 35206-1509 | 2006-07-31 |
1598771990 | American Family Care, Inc. | General Practice | 1652 Montclair Rd, Birmingham, AL 35210-2410 | 2006-07-31 |
Find all providers in BIRMINGHAM |
City | BIRMINGHAM |
Zip Code | 35233 |
Please comment or provide details below to improve the information on JEFFREY RYNE BLACK.
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.