MATTHEW L BLACK (NPI# 1366922247) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366922247 |
| Entity Type | Individual |
| Full Name | MATTHEW L BLACK |
| Credential | MS, RDN, LD |
| Practice Address |
410 W 10th Ave W180 Doan Hall Columbus OH 43210 |
| Practice Telephone | 6142938036 |
| Practice Fax Number | 6142933780 |
| Mailing Telephone | 6142938036 |
| Mailing Fax Number | 6142933780 |
| Enumeration Date | 2018-08-20 |
| Last Update Date | 2018-08-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | 5343 | OH | Dietary & Nutritional Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639718745 | Matthew David Black | Hearing Instrument Specialist | 3656 Washington Pkwy, Idaho Falls, ID 83404-7573 | 2020-01-06 |
| 1124512447 | Matthew Black | Optometrist | 3901 Alpine Ave Nw, Comstock Park, MI 49321-8350 | 2018-06-20 |
| 1821509415 | Matthew David Black | Counselor | 17606 Coshocton Rd, Mount Vernon, OH 43050-9218 | 2017-10-23 |
| 1518313824 | Matthew Black | Student in an Organized Health Care Education/Training Program | 3500 Gaston Ave, Dallas, TX 75246-2017 | 2016-05-05 |
| 1891173282 | Matthew Kimball Black | Dentist | 512 N Young St, Kennewick, WA 99336-7839 | 2015-05-18 |
| 1275923955 | Matthew Black | Pharmacy Technician | 45155 First Colony Way, Attn Pharmacy, California, MD 20619-2416 | 2015-02-02 |
| 1891010567 | Matthew Crittenden Black | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 200 Lothrop St., C800, Pittsburgh, PA 15213 | 2010-04-06 |
| 1437339900 | Matthew Roger Black | Emergency Medicine | 12500 Willowbrook Rd, Cumberland, MD 21502-6393 | 2007-11-13 |
| 1679769947 | Matthew John Black | Physical Therapist | 4004 S Yale Ave, Tulsa, OK 74135-6017 | 2007-09-20 |
| 1346395175 | Matthew A. Black | Counselor | 601 Cumberland St, Chattanooga, TN 37404-1922 | 2007-01-24 |
| Street Address |
410 W 10TH AVE W180 DOAN HALL |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194720599 | Stephen Thomas Shaw | Internal Medicine | 410 W 10th Ave, Columbus, OH 43210-1240 | 2005-06-14 |
| 1194324376 | Bindu Sahithya Challa | Pathology | 410 W 10th Ave, Columbus, OH 43210-1240 | 2020-10-20 |
| 1912506320 | Qizhi Cao | Nurse Practitioner | 410 W 10th Ave, Columbus, OH 43210-1240 | 2020-10-19 |
| 1033718499 | Audra Goldsberry | Pharmacist | 410 W 10th Ave, Columbus, OH 43210-1240 | 2020-10-17 |
| 1831706720 | Jamie Baldridge | Nurse Practitioner | 410 W 10th Ave, Columbus, OH 43210-1240 | 2020-09-25 |
| 1760098834 | Corey Becker | Nurse Practitioner | 410 W 10th Ave, Columbus, OH 43210-1240 | 2020-09-23 |
| 1942816400 | Thapasya Susan Thomas | Nurse Practitioner | 410 W 10th Ave, Columbus, OH 43210-1240 | 2020-09-21 |
| 1427660299 | Eileen Friery | Pharmacist | 410 W 10th Ave, Columbus, OH 43210-1240 | 2020-08-21 |
| 1124630470 | Gretchen Junker | Pharmacist | 410 W 10th Ave, Columbus, OH 43210-1240 | 2020-08-18 |
| 1205445053 | Allyson Helms | Pharmacist | 410 W 10th Ave, Columbus, OH 43210-1240 | 2020-07-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861014672 | Nadine El Ayouty | Dentist | 2082 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2020-05-14 |
| 1982233953 | Zacharia A Grami | Emergency Medicine | 774 Prior Hall, 376 West 10th Avenue, Columbus, OH 43210 | 2020-04-02 |
| 1578191219 | Kaitlyn Greiner | Student in an Organized Health Care Education/Training Program | The Ohio State University Wexner Center, 395 W 12th Avenue, Third Floor, Columbus, OH 43210 | 2020-03-30 |
| 1265069280 | Meryl P Sudhakar | Student in an Organized Health Care Education/Training Program | 774 Prior Hall 376 W 10th Ave, Columbus, OH 43210 | 2020-03-27 |
| 1124653514 | William A Jansak | Nurse Practitioner | The Richard M. Ross Heart Hospital, 4th Floor, 452 West 10th Ave, Columbus, OH 43210 | 2020-03-06 |
| 1114570058 | Suzanne Bartle Haring | Marriage & Family Therapist | 110 Bevis Hall, 1080 Carmack Rd, Columbus, OH 43210 | 2019-07-19 |
| 1487207387 | Mehak Kaul | Dentist | 2196 Postle Hall, 305 West 12th Avenue, Columbus, OH 43210 | 2019-07-19 |
| 1043873920 | Andrew Kendle | Student in an Organized Health Care Education/Training Program | 774 Prior Hall, 374 W. 10th Ave, Columbus, OH 43210 | 2019-04-17 |
| 1093277840 | Cory Pettit | Student in an Organized Health Care Education/Training Program | The Ohio State Universty Wexner Medical Center, 395 W 12th Ave, 3rd Floor, Columbus, OH 43210 | 2019-04-02 |
| 1447711866 | Drew Michael S Donnell | Student in an Organized Health Care Education/Training Program | Osuwmc Dept of Surgery, 395 W. 12th Avenue, Room 662, Columbus, OH 43210 | 2019-03-28 |
| Find all providers in zip 43210 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528675907 | Taylor Ragan | Dietitian, Registered | 847 Heiferhorn Trce, Columbus, GA 31904-1267 | 2020-09-29 |
| 1356957427 | Matthew D Powell | Dietitian, Registered | 3609 14th Ave, Columbus, GA 31904-7840 | 2020-09-23 |
| 1962018283 | Alyson Shewbart | Dietitian, Registered | 5601 Veterans Pkwy, Columbus, GA 31904-9001 | 2020-09-22 |
| 1184239626 | Brooke Busa Czarnecki | Dietitian, Registered | 1400 Boxwood Blvd Apt 5324, Columbus, GA 31906-2348 | 2020-09-11 |
| 1306450952 | Liveinspird | Dietitian, Registered | 3206 Kenny Rd, Columbus, OH 43221-1510 | 2020-09-01 |
| 1609487669 | Indiana Nutrition Group | Dietitian, Registered | 450 Jackson St Unit 1335, Columbus, IN 47201-6783 | 2020-08-13 |
| 1669081642 | Nicole Raulli | Dietitian, Registered | 8001 Ravines Edge Ct Ste 242, Columbus, OH 43235-5423 | 2020-07-27 |
| 1790302057 | Justin Michael Heinz | Dietitian, Registered | 110 Liberty St Apt 11302, Columbus, OH 43215-5807 | 2020-07-02 |
| 1750908687 | Rachael Elizabeth Mills | Dietitian, Registered | 140 S High St Apt 600, Columbus, OH 43215-3578 | 2020-06-26 |
| 1669098166 | Marina Danielle Channer | Dietitian, Registered | 3159 43rd Ave, Columbus, NE 68601-4421 | 2020-06-19 |
| Find all providers in COLUMBUS | ||||
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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.