DR. CHARLES B BLACK (NPI# 1497764187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497764187 |
| Entity Type | Individual |
| Full Name | DR. CHARLES B BLACK |
| Credential | MD |
| Practice Address |
1010 Three Springs Blvd Durango CO 81301-8296 |
| Practice Telephone | 9702474311 |
| Mailing Telephone | 9702474311 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2012-10-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | DR.0051621 | CO | Allopathic & Osteopathic Physicians |
| Y | 208600000X | Surgery | 42300 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 33341000 | 05 | |
| DEA NUMBER | BB6830207 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205094240 | Charles Randall Black | Dentist | 26 Long Pond Road, Plymouth County Correctional Facility, Plymouth, MA 02360-2606 | 2008-05-27 |
| 1962555342 | Charles Leonard Black | Emergency Medicine | 7600 General Motors Blvd, Medical Department, Shreveport, LA 71129-9426 | 2007-01-19 |
| 1356407902 | Charles Brad Black | Family Medicine | 214 E 3rd St, Libby, MT 59923-2056 | 2006-12-28 |
| 1053424234 | Charles Glenn Black | Physical Therapist | 1231 Colonial Park Dr, Severn, MD 21144-4417 | 2006-08-15 |
| 1528049723 | Charles Thomas Black | Surgery | 12200 Park Central Dr Ste 400, Dallas, TX 75251-2116 | 2005-11-07 |
| 1972754950 | Charles Black IIi | Dentist | 4728 Airport Blvd, Suite C, Mobile, AL 36608 | 2008-10-08 |
| 1790988087 | Charles Henry Black Iv | Orthopaedic Surgery | 1002 Jefferson St., Suite 350, Laurel, MS 39440-4306 | 2007-06-06 |
| 1427196096 | Charles Alexander Black Jr. | Technician, Other | 427 Commercial St, Boston, MA 02109-1027 | 2007-02-03 |
| 1730111378 | Charles Joseph Black | Social Worker | 4355 Ferguson Dr, Suite 270, Cincinnati, OH 45245-5136 | 2006-07-06 |
| 1992744981 | Charles Black | Surgery | 1534 Elizabeth Ave, Suite 202, Shreveport, LA 71101-4516 | 2006-06-05 |
| Street Address |
1010 THREE SPRINGS BLVD |
| City | DURANGO |
| State | CO |
| Zip Code | 81301-8296 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609879204 | Robin L Galloway | Family Medicine | 1010 Three Springs Blvd, Durango, CO 81301-8296 | 2005-05-27 |
| 1083214316 | Sheridan Childrens Healthcare Services of Colorado PC | Pediatrics | 1010 Three Springs Blvd, Durango, CO 81301-8296 | 2020-10-27 |
| 1407468010 | Total Healthcare | Family Medicine | 1010 Three Springs Blvd, Durango, CO 81301-8296 | 2020-08-17 |
| 1235765074 | Usacs of Colorado Inc | Emergency Medicine | 1010 Three Springs Blvd, Durango, CO 81301-8296 | 2020-03-12 |
| 1194376806 | Catholic Health Initiatives Colorado | Health Educator | 1010 Three Springs Blvd, Durango, CO 81301-8296 | 2019-09-24 |
| 1366901852 | Patrick Thomas Hughes | Pharmacist | 1010 Three Springs Blvd, Durango, CO 81301-8296 | 2019-03-14 |
| 1285104398 | Melissa Neagos | Social Worker | 1010 Three Springs Blvd, Durango, CO 81301-8296 | 2018-12-01 |
| 1578039046 | Katie Green | Specialist/Technologist | 1010 Three Springs Blvd, Durango, CO 81301-8296 | 2018-10-22 |
| 1578087896 | Centura Health Pharmacy @ Mercy Regional Medical Center | Pharmacy | 1010 Three Springs Blvd, Durango, CO 81301-8296 | 2017-07-28 |
| 1922520741 | Catholic Health Iniatives Colorado | Pharmacy | 1010 Three Springs Blvd, Durango, CO 81301-8296 | 2017-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467003541 | High Country Counseling, LLC | Social Worker | 101 East 31st Street, Unit B, Durango, CO 81301 | 2019-09-20 |
| 1033629431 | Southern Rockies Addiction Treatment Services | Substance Abuse Rehabilitation Facility | 736 Goeglein Gulch, Durango, CO 81301 | 2017-10-11 |
| 1649710583 | Dr. Michael Washinsky, LLC | Psychiatry & Neurology | 1800 East 3rd Ave., Suite 102, Durango, CO 81301 | 2017-02-25 |
| 1578000113 | Taylor Ferraro | Prevention Professional | 221 E 4th Ave Unit B, Durango, CO 81301 | 2017-01-20 |
| 1467811224 | Newelldixon, Pllc | Clinic/Center | 29423 E. Highway 160, Durango, CO 81301 | 2016-02-22 |
| 1699146803 | Leah Linder | Naturopath | 117 Cr 250. Suite A, Durango, CO 81301 | 2015-10-14 |
| 1780065136 | Jeffrey Hines | Occupational Therapy Assistant | 970 Silver Mesa Driveway, Durango, CO 81301 | 2015-06-11 |
| 1467832410 | Sara Supinski LLC | Clinic/Center | 1911 Main Ave, Suite 240, Durango, CO 81301 | 2015-06-04 |
| 1356735146 | Margaret Austin | Massage Therapist | 1309 E 3rd Avenue, Durango, CO 81301 | 2015-03-19 |
| 1891112280 | Lisa Ann Proulx | Health Educator | 3 Springs Blvd.. Suite 201, Durango, CO 81301 | 2014-03-24 |
| Find all providers in zip 81301 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740548957 | Brigid O'holleran | Surgery | 1 Mercado St Ste 220, Durango, CO 81301-7310 | 2012-04-25 |
| 1962429902 | Southwest Surgical Associates PC | Surgery | 1 Mercado St # 220, Durango, CO 81301-7300 | 2006-07-16 |
| 1578819504 | Catholic Health Initiatives Colorado | Surgery | 1 Mercado St, Suite 220, Durango, CO 81301-7306 | 2012-07-27 |
| 1720232895 | Robert C Wrona | Surgery | 1 Mercado St, Ste 220, Durango, CO 81301-7306 | 2008-11-15 |
| 1396861407 | Frank Joseph Quayle Iv | Surgery | 1 Mercado St, Suite 220, Durango, CO 81301-7300 | 2007-03-21 |
| 1184647000 | Mark E Stern | Surgery | 1 Mercado St, Suite 220, Durango, CO 81301-7300 | 2006-07-25 |
| 1699795690 | David C Deaver IIi | Surgery | 1 Mercado St, Suite 220, Durango, CO 81301-7300 | 2006-07-20 |
| 1679590657 | Robert C Desko | Surgery | 1 Mercado St, Suite 220, Durango, CO 81301-7300 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831797554 | Lower Valley Hospital Association | Surgery | 401 Kokopelli Blvd Ste 3, -practice Location Npi Only-, Fruita, CO 81521-3308 | 2020-10-14 |
| 1467069120 | Colorado Medical Group, Pllc | Surgery | 3665 John F Kennedy Pkwy Ste 200, Fort Collins, CO 80525-3152 | 2020-09-28 |
| 1295341907 | Colorado Trauma Services PC | Surgery | 500 W 144th Ave Ste 130, Westminster, CO 80023-9326 | 2020-09-17 |
| 1013523729 | Colorado Trauma Services PC | Surgery | 401 Castle Creek Rd Ste 2400, Aspen, CO 81611-1159 | 2020-09-17 |
| 1679185698 | Healthone Clinic Services-surgical Specialties LLC | Surgery | 9005 Grant St Ste 300, Thornton, CO 80229-4384 | 2020-08-20 |
| 1730791740 | Healthone Clinic Services-surgical Specialties LLC | Surgery | 1719 E 19th Ave Ste 1c, Denver, CO 80218-1235 | 2020-08-20 |
| 1689286692 | Healthone Clinic Services-surgical Specialties LLC | Surgery | 1601 E 19th Ave Ste 4550, Denver, CO 80218-1254 | 2020-08-20 |
| 1982216990 | Healthone Clinic Services-surgical Specialties LLC | Surgery | 601 E Hampden Ave Ste 250, Englewood, CO 80113-2781 | 2020-08-20 |
| 1881206803 | Healthone Clinic Services-surgical Specialties LLC | Surgery | 701 E Hampden Ave Ste 210, Englewood, CO 80113-2737 | 2020-08-20 |
| 1598376345 | Healthone Clinic Services-surgical Specialties LLC | Surgery | 9055 W 80th Dr Ste 24, Arvada, CO 80005-2448 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DR. CHARLES B 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.