DR. MATTHEW ROGER BLACK (NPI# 1437339900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437339900 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW ROGER BLACK |
| Practice Address |
12500 Willowbrook Rd Cumberland MD 21502-6393 |
| Mailing Address |
20251 Century Blvd Ste 130 Germantown MD 20874-1199 |
| Practice Telephone | 1240964120 |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2010-02-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | HOO69899 | MD | Allopathic & Osteopathic Physicians |
| Y | 207P00000X | Emergency Medicine | 5101015934 | MI | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639718745 | Matthew David Black | Hearing Instrument Specialist | 3656 Washington Pkwy, Idaho Falls, ID 83404-7573 | 2020-01-06 |
| 1366922247 | Matthew L Black | Dietitian, Registered | 410 W 10th Ave, W180 Doan Hall, Columbus, OH 43210 | 2018-08-20 |
| 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 |
| 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 |
12500 WILLOWBROOK RD |
| City | CUMBERLAND |
| State | MD |
| Zip Code | 21502-6393 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619973914 | Jorge Roberto Andrade | Obstetrics & Gynecology | 12500 Willowbrook Rd, Cumberland, MD 21502-6393 | 2005-06-22 |
| 1538767959 | Stephanie Lynn Mcvicker | Nurse Practitioner | 12500 Willowbrook Rd, Cumberland, MD 21502-6393 | 2020-10-16 |
| 1528686573 | Lindsey Lancaster | Social Worker | 12500 Willowbrook Rd, Cumberland, MD 21502-6393 | 2020-07-07 |
| 1346861598 | Ladawn Yoder | Social Worker | 12500 Willowbrook Rd, Cumberland, MD 21502-6393 | 2020-04-29 |
| 1841821790 | Pete Allen Kuhn | Nurse Practitioner | 12500 Willowbrook Rd, Cumberland, MD 21502-6393 | 2020-01-30 |
| 1821629056 | Raven Hicks | Nurse Anesthetist, Certified Registered | 12500 Willowbrook Rd, Cumberland, MD 21502-6393 | 2020-01-27 |
| 1043856222 | Frank Mborogo | Social Worker | 12500 Willowbrook Rd, Cumberland, MD 21502-6393 | 2019-11-21 |
| 1609419126 | Carly Haffeman | Physician Assistant | 12500 Willowbrook Rd, Cumberland, MD 21502-6393 | 2019-10-28 |
| 1770133399 | Amanda D Michael | Counselor | 12500 Willowbrook Rd, Cumberland, MD 21502-6393 | 2019-09-16 |
| 1922663509 | Cheriann Menges | Social Worker | 12500 Willowbrook Rd, Cumberland, MD 21502-6393 | 2019-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141592 | Upmc Western Maryland Corporation | Clinic/Center | 10700 Leslie Lane, Cumberland, MD 21502 | 2020-07-13 |
| 1669934212 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 701 Park Street, Queen City Centre, Cumberland, MD 21502 | 2019-04-03 |
| 1114497070 | Dianne Liller | Speech-Language Pathologist | 200 Massachusetts Ave, Cumberland, MD 21502 | 2018-12-04 |
| 1386111409 | Rebecca Anne Stewart | Counselor | 217 Glenn Street, Suite 401, Cumberland, MD 21502 | 2018-10-26 |
| 1396222998 | Crystal Lynne Walls | Nurse Practitioner | Western Maryland Health System, 12500 Willowbrook Rd, Cumberland, MD 21502 | 2018-07-26 |
| 1841796554 | Joan Kathleen Hoban | Speech-Language Pathologist | Potomac Behavioral and Occupational Therapy, 240 Henderson Ave., Cumberland, MD 21502 | 2018-04-02 |
| 1760984447 | Christine T. Haines | Social Worker | 907 Seton Drive, Cumberland, MD 21502 | 2018-03-08 |
| 1033632328 | Nicole Mabury | Counselor | 12501 Willowbrook Road, Cumberland, MD 21502 | 2017-07-19 |
| 1073042479 | The Lions Center for Rehabilitation and Extended Care, Inc. | Skilled Nursing Facility | 901 Seton Drive, Cumberland, MD 21502 | 2017-06-08 |
| 1912446816 | Marina Hurst | Counselor | 10102 County Club Road Se, Cumberland, MD 21502 | 2017-02-13 |
| Find all providers in zip 21502 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427021120 | Michael Thomas Fabrizio | Emergency Medicine | 8 Pinewood Ln, Cumberland, RI 02864-4225 | 2006-02-12 |
| 1386643898 | Ronna Mathias Monseau | Emergency Medicine | 14302 Barton Blvd Sw, Cumberland, MD 21502-5825 | 2005-07-18 |
| 1033556675 | Ifeoluwa Adabonyan | Emergency Medicine | 12500 Willowbrook Rd, Emergency Department, Cumberland, MD 21502-6393 | 2013-05-22 |
| 1952627523 | Eric S Hansen | Emergency Medicine | 12500 Willowbrook Rd, Cumberland, MD 21502-6393 | 2010-04-07 |
| 1245465376 | Health Matters LLC | Emergency Medicine | 14302 Barton Blvd Sw, Cumberland, MD 21502-5825 | 2009-05-19 |
| 1972663201 | Nannette Mccullough | Emergency Medicine | 600 Memorial Ave, Cumberland, MD 21502-3765 | 2006-12-08 |
| 1336230556 | Michael Weddle | Emergency Medicine | 600 Memorial Ave, Cumberland, MD 21502-3765 | 2006-09-27 |
| 1255422432 | Jeffrey Davis | Emergency Medicine | 600 Memorial Ave, Cumberland, MD 21502-3765 | 2006-09-27 |
| 1285725481 | Jason Linn | Emergency Medicine | 600 Memorial Ave, Cumberland, MD 21502-3765 | 2006-09-27 |
| 1740381201 | Gregory Beyer | Emergency Medicine | 600 Memorial Ave, Cumberland, MD 21502-3765 | 2006-09-26 |
| Find all providers in CUMBERLAND | ||||
| City | CUMBERLAND |
| Zip Code | 21502 |
Please comment or provide details below to improve the information on DR. MATTHEW ROGER 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.