CHAD BLACK MD, LLC (NPI# 1538596309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538596309 |
| Entity Type | Organization |
| Organization Name | CHAD BLACK MD, LLC |
| Practice Address |
610 Sycamore Street Suite 130 Celebration FL 34747 |
| Practice Telephone | 3212876955 |
| Enumeration Date | 2013-10-10 |
| Last Update Date | 2013-10-10 |
| Authorized Official Name | CHAD BLACK (CEO / MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3212876955 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | TOWN CENTER FAMILY MEDICINE LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | FL | Allopathic & Osteopathic Physicians |
| Street Address |
610 SYCAMORE STREET SUITE 130 |
| City | CELEBRATION |
| State | FL |
| Zip Code | 34747 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861974073 | Keiler Heberto Moreno Rivero, P.a. | Internal Medicine | 2954 Mallory Cir #200, Kissimmee, FL 34747 | 2018-09-04 |
| 1437644952 | Tri-county Nursing and Rehabilitation Center Inc | Skilled Nursing Facility | 1290 Celebration Blvd, Kissimmee, FL 34747 | 2018-06-27 |
| 1669918579 | Kyle Mcclurg | Specialist/Technologist | 700 S Victory Way, Kissimmee, FL 34747 | 2017-01-17 |
| 1194277913 | Norma Ivelisse Arzola | Counselor | 7519 Pellham Way, Kissimmee, FL 34747 | 2016-10-27 |
| 1528416625 | Guillermo Rivera | Counselor | 8401 Titkos Drive Apt 201, Kissimmee, FL 34747 | 2016-05-31 |
| 1659780625 | Keiler Moreno Rivero | Internal Medicine | 2954 Mallory Cir, Suite 200, Kissimmee, FL 34747 | 2014-08-04 |
| 1598046344 | Adventist Health System/sunbelt, Inc. | Non-Pharmacy Dispensing Site | 8201 W. Irlo Bronson Hwy, Kissimmee, FL 34747 | 2011-09-07 |
| 1447467170 | Matthew W Johnston | Orthopaedic Surgery | 410 Celectration Place, Suite 106, Celebration, FL 34747 | 2007-05-16 |
| 1457563538 | Eric Edwin Malek | Specialist/Technologist | 700 South Victory Way, Kissimmee, FL 34747 | 2007-05-03 |
| 1548314123 | Front Street Family Dentistry | Dentist | 609 Front St, Celebration, FL 34747 | 2007-01-22 |
| Find all providers in zip 34747 | ||||
| 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 |
|---|---|---|---|---|
| 1659905073 | Celebration Family Physicians LLC | Family Medicine | 1530 Celebration Blvd Ste 103, Celebration, FL 34747-5165 | 2020-02-25 |
| 1346678901 | Snf Professional Physicians of Florida LLC | Family Medicine | 117 Celebration Blvd, Celebration, FL 34747-5009 | 2013-10-17 |
| 1144584202 | Mahnaz Qayyum Medical Enterprises, LLC | Family Medicine | 1530 Celebration Blvd Ste 408, Celebration, FL 34747-5165 | 2012-07-03 |
| 1497934004 | Lei Gong | Family Medicine | 1530 Celebration Blvd Ste 101, Celebration, FL 34747-5165 | 2007-10-31 |
| 1184658759 | Angel M Quesada Pintor Sr. | Family Medicine | 1530 Celebration Blvd Ste 407, Celebration, FL 34747-5165 | 2006-07-10 |
| 1013989250 | Luis Emilio Baltodano | Family Medicine | 65 Riley Rd, Celebration, FL 34747-5419 | 2006-02-02 |
| 1457338519 | Mahnaz Qayyum | Family Medicine | 1530 Celebration Blvd, Suite 408, Celebration, FL 34747-5164 | 2005-12-29 |
| 1245225846 | James Gregory Scelfo | Family Medicine | 602 Front St, Celebration, FL 34747-4675 | 2005-09-20 |
| 1538161518 | Jason M Florimonte | Family Medicine | 410 Celebration Pl Ste 103, Celebration, FL 34747-5432 | 2005-08-10 |
| 1558843748 | Celebration Primary Care Associates | Family Medicine | 1530 Celebration Blvd Ste 407, Celebration, FL 34747-5165 | 2018-09-04 |
| Find all providers in CELEBRATION | ||||
| City | CELEBRATION |
| Zip Code | 34747 |
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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.