DR. THOMAS J BLACK (NPI# 1427017805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427017805 |
Entity Type | Individual |
Full Name | DR. THOMAS J BLACK |
Credential | MD |
Practice Address |
10000 Bay Pines Blvd Bay Pines Vamc Bay Pines FL 33744 |
Mailing Address |
Pobox 5005 Bay Pines Vamc 114 Bay Pines FL 33744 |
Practice Telephone | 7273986661 |
Practice Fax Number | 7273989575 |
Mailing Telephone | 7273986661 |
Mailing Fax Number | 7273989575 |
Enumeration Date | 2006-03-22 |
Last Update Date | 2007-12-18 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
ME36561 | FL | Allopathic & Osteopathic Physicians |
Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
ME36561 | FL | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851474167 | Thomas Houston Black IIi | Family Medicine | 1145 Indianapolis Road, Greencastle, IN 46135 | 2006-10-23 |
1932687407 | Thomas Harrison Black | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2018-08-06 |
1619346376 | Thomas Black | Nurse Practitioner | 111 W Hobbs St, Roswell, NM 88203-1869 | 2015-09-23 |
1942559463 | Thomas Robert Black Jr. | Clinical Exercise Physiologist | 168 Denslow Rd, East Longmeadow, MA 01028-3188 | 2012-08-30 |
1265600266 | Thomas Short Black | Speech-Language Pathologist | Berkeley County Board of Education, 401 South Queen Street, Martinsburg, WV 25401 | 2008-02-13 |
1982808796 | Thomas Daniel Black | Emergency Medicine | 8686 New Trails Dr, # 100, The Woodlands, TX 77381-1176 | 2007-06-14 |
1417078122 | Thomas C Black | Nurse Practitioner | 800 Howard Ave, Yale Physicians Bldg, New Haven, CT 06519-1369 | 2007-04-02 |
1689691180 | Thomas C Black | Ophthalmology | 1010 Carondelet Dr, Suite 103, Kansas City, MO 64114-4821 | 2006-07-17 |
1508838871 | Thomas Black | Pediatrics | 219 Bryant Street, Buffalo, NY 14222-2006 | 2006-02-02 |
Street Address |
10000 BAY PINES BLVD BAY PINES VAMC |
City | BAY PINES |
State | FL |
Zip Code | 33744 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164423596 | Lawrence Alan Gaulkin | Family Medicine | 10000 Bay Pines Blvd, Bay Pines, FL 33744 | 2005-08-09 |
1225638943 | Mary Catherine Mercer | Psychologist | 10000 Bay Pines Blvd, Mh&bss (116), Bay Pines, FL 33744 | 2020-10-30 |
1407456650 | Alisah N Lauderdale | Social Worker | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-10-27 |
1710584503 | Jeffrey Scott Mcdonald | Counselor | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-10-05 |
1841897642 | Cecelia Anne Bushery | Counselor | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-10-05 |
1982201141 | Brett Marshel Taylor | Social Worker | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-10-01 |
1588271951 | Jennifer Ngoc Ngo | Pharmacist | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-09-29 |
1750998274 | Nara Celeste Lee | Dietitian, Registered | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-09-29 |
1972110393 | Nardine-mary Yassa | Pharmacist | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-09-29 |
1881201309 | Quynh-nhu Courtney Truong | Pharmacist | 10000 Bay Pines Blvd, Bay Pines, FL 33744-8200 | 2020-09-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487267258 | Katlyn Shelley Starr | Social Worker | 10000 Bay Pines Vahca, Bay Pines, FL 33744 | 2020-08-31 |
1518508555 | Jesse James Callahan | Registered Nurse | Jerri-jean Miller, Clinical Staff Affairs Va Healthcare System, Bay Pines, FL 33744 | 2019-10-01 |
1891347118 | Shakisha Lawson | Nurse Practitioner | Bay Pines Va Hospital, 10000 Bay Pines Blvd, Saint Petersburg, FL 33744 | 2019-07-16 |
1427519610 | Channing Anne Sofko | Psychologist | Bay Pines Vahcs, 10000 Bay Pines Blvd, Bay Pines, FL 33744 | 2019-03-29 |
1255710299 | Lisa Ann Snyder | Social Worker | 10000 Bay Pines Blvd Bldg 102 Room D185, Bay Pines Vahcs (116d), St Petersburg, FL 33744 | 2015-05-22 |
1598011272 | Emily G King | Clinical Neuropsychologist | 10,000 Bay Pines Blvd (116b), Bay Pines, FL 33744 | 2012-07-31 |
1245494376 | Saifu Daniel | Internal Medicine | 10000 Bay Pine Blvd, Bay Pines Va Hospital, Bay Pines, FL 33744 | 2008-07-17 |
1114195047 | Brook Hay | Psychologist | 10000 Bay Pines Blvd (bay Pines Va), Bldg. 102, C Wing (116c), Bay Pines, FL 33744 | 2008-02-13 |
1831399260 | Rodrique A Rodney | Pharmacist | Bay Pines Va 10000 Bay Pines Blvd, Saint Petersburg, FL 33744 | 2007-07-24 |
1831395979 | Jennifer Lynn Thompson | Nurse Practitioner | 10,000 Baypines Blvd, Bldg 101, St. Petersburg, FL 33744 | 2007-06-25 |
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Taxonomy Code | 2085R0204X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Vascular & Interventional Radiology |
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
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1164060497 | Advanced Vascular Cardiac & Veins, Pllc | Radiology | 7480 Bird Rd Ste 560, Miami, FL 33155-6657 | 2019-12-17 |
1801437041 | Premier Interventional & Diagnostic Radiology, Corp | Radiology | 8495 Sw 56th St, Miami, FL 33155-5426 | 2019-09-30 |
1003476169 | Hss-florida Physicians LLC | Radiology | 1395 S State Road 7 Ste 410, Wellington, FL 33414-9327 | 2019-06-19 |
1003302712 | Ocuflow Doppler LLC | Radiology | 1855 Veterans Park Drive, Naples, FL 34109 | 2018-07-05 |
1972006351 | Minimally Invasive Vascular, Inc | Radiology | 2720 Us Highway 1 S Ste C, St Augustine, FL 32086-6301 | 2018-03-13 |
1124530761 | Radiology & Imaging Specialists of Lakeland, Pa | Radiology | 313 W Bass St, Kissimmee, FL 34741-5011 | 2017-11-03 |
1942727516 | Inspired Interventional Radiology Services LLC | Radiology | 11011 Sheridan St Ste 102, Hollywood, FL 33026-1501 | 2017-08-24 |
1386004901 | Precision Medical Imaging and Therapeutic Institute LLC | Radiology | 2540 Green Forest Ln, Suite #101, Lutz, FL 33558-5388 | 2016-02-24 |
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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.