DR. CHRISTOPHER PHILIP BLACK (NPI# 1396727749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396727749 |
| Entity Type | Individual |
| Full Name | DR. CHRISTOPHER PHILIP BLACK |
| Credential | M.D. |
| Practice Address |
18983 Us Route 11 Watertown NY 13601-5320 |
| Practice Telephone | 3157820059 |
| Practice Fax Number | 3157820226 |
| Mailing Telephone | 3157820059 |
| Mailing Fax Number | 3157820226 |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2019-03-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | 185396 | NY | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 185396 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 321 Genesee St, Oneida, NY 134212611 | 3153636000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578036711 | Christopher Michael Black | Student in an Organized Health Care Education/Training Program | 2333 Se 45th Ave, Portland, OR 97215-3729 | 2019-01-10 |
| 1821506163 | Christopher G Black | Psychologist | 703 3rd St Rm 1120, West Lafayette, IN 47907-2081 | 2018-01-22 |
| 1407496029 | Christopher Vaughn Black | Physical Therapist | 313 Neff Ave Ste C, Harrisonburg, VA 22801-3495 | 2020-01-11 |
| 1619520467 | Christopher Black | Counselor | 4131 University Blvd S, Jacksonville, FL 32216-4326 | 2019-07-22 |
| 1710546346 | Christopher Michael Black | Behavior Technician | 1070 W Houghton Lake Dr, Prudenville, MI 48651-9673 | 2019-06-07 |
| 1457736605 | Christopher Black | Pharmacist | 105 Foothills Center Dr, West Union, SC 29696-2518 | 2015-07-29 |
| 1205195138 | Christopher Michael Black | Student in an Organized Health Care Education/Training Program | 1102 W 32nd St, Joplin, MO 64804-3503 | 2012-05-12 |
| 1427219286 | Christopher Black | Anesthesiology | 450 N New Ballas Rd, Saint Louis, MO 63141-6835 | 2008-06-24 |
| 1235342957 | Christopher D Black | Family Medicine | 2490 Oka St, Kilauea, HI 96754-5332 | 2007-05-08 |
| 1770524076 | Christopher S Black | Chiropractor | 140 Point Judith Rd, #30, Narragansett, RI 02882-3451 | 2006-06-09 |
| Street Address |
18983 US ROUTE 11 |
| City | WATERTOWN |
| State | NY |
| Zip Code | 13601-5320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154808764 | Shelby Margaret Scordo | Physician Assistant | 18983 Us Route 11, Watertown, NY 13601-5320 | 2018-07-26 |
| 1740373919 | Karen Anne Williams | Family Medicine | 18983 Us Route 11, Watertown, NY 13601-5320 | 2006-10-02 |
| 1992898191 | Karen A. Williams, Md, PC | Physician Assistant | 18983 Us Route 11, Watertown, NY 13601-5320 | 2006-10-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801414156 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 122 Court Street, Empsall Bldg, Room 212, Watertown, NY 13601 | 2020-07-13 |
| 1083231377 | Katherine Anne Cahill | Counselor | 22679 Duffy Road, Watertown, NY 13601 | 2020-07-02 |
| 1851855431 | Hanna Kearney | Physical Therapist | 20053 Summit View Blvd Ste 2, Watertown, NY 13601 | 2019-01-28 |
| 1578039905 | North Country Counseling Services LLC | Counselor | 210 Court St. Suite 4, Watertown, NY 13601 | 2018-10-24 |
| 1073004388 | Megan Anna O'brien | Counselor | 221 S Rutland Street, Watertown, NY 13601 | 2018-05-22 |
| 1558860536 | Kimberly Lynne Amelio | Specialist | 24850 Hinds Rd, Watertown, NY 13601 | 2018-02-06 |
| 1952840050 | Alberto Gonzalez | Social Worker | 211 Jb Wise Plaza, Watertown, NY 13601 | 2017-02-22 |
| 1073967386 | Amanda Pisarski | Licensed Practical Nurse | 26713 Nys Rte 12, Watertown, NY 13601 | 2016-04-22 |
| 1396137709 | Daniel Ernest Morgan | Neuromusculoskeletal Medicine & OMM | 21101 Ny-12f, Building 2, Suite 7, Watertown, NY 13601 | 2015-02-21 |
| 1568868131 | Megan E. Zamora | Dental Hygienist | 14652-b Cedar Way, Watertown, NY 13601 | 2014-11-10 |
| Find all providers in zip 13601 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, 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 Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871710095 | Mary Jane Moran Brackett | Family Medicine | 45 Litchfield Rd, Watertown, CT 06795-1944 | 2007-04-19 |
| 1215058367 | Rosemary E Pomponio | Family Medicine | 376 Arsenal St, Watertown, MA 02472-2892 | 2007-04-03 |
| 1932232378 | Primary Health of Northern New York, Pllc | Family Medicine | 156 Clinton St, Watertown, NY 13601-3602 | 2007-03-14 |
| 1649359209 | Heidi R Wuerger | Family Medicine | 309 Jefferson Ave Sw, Watertown, MN 55388-8101 | 2006-11-03 |
| 1427071125 | Robert John Kasulke | Family Medicine | 270 Clinton St, Watertown, NY 13601-3620 | 2006-07-25 |
| 1992758270 | Jason F. White | Family Medicine | 53-59 Public Square Suite 301, Watertown Internists, PC, Watertown, NY 13601 | 2006-05-18 |
| 1679521132 | Joseph Wetterhahn | Family Medicine | 1575 Washington St, Watertown, NY 13601-9367 | 2006-05-05 |
| 1154305662 | Scott M Jensen | Family Medicine | 204 Lewis Ave S Ste 201, Watertown, MN 55388-4502 | 2005-11-30 |
| 1790768364 | William Curtis Whisler | Family Medicine | 204 Lewis Ave S, Suite 200, Watertown, MN 55388-4500 | 2005-11-28 |
| 1013908771 | Robert Steven Legrow | Family Medicine | 127 Hospital Dr, Watertown, WI 53098-3303 | 2005-11-02 |
| Find all providers in WATERTOWN | ||||
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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.