JONATHAN S. BLACK (NPI# 1548463300) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548463300 |
| Entity Type | Individual |
| Full Name | JONATHAN S. BLACK |
| Credential | M.D. |
| Practice Address |
1300 Jefferson Park Ave Charlottesville VA 22903-3363 |
| Mailing Address |
Po Box 9007 Charlottesville VA 22906-9007 |
| Practice Telephone | 4349245078 |
| Practice Fax Number | 4349248118 |
| Mailing Telephone | 4342951000 |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2020-10-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 0101256477 | VA | Allopathic & Osteopathic Physicians |
| Y | 208200000X | Plastic Surgery | 0101256477 | VA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | 0116019221 | VA | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1204 W Main St, Charlottesville, VA 229032824 | 4349826100 | 4349820747 |
| 629 Cedar Creek Grade Ste B, Winchester, VA 226012786 | 5406783950 | 5406783950 |
| 70 Medical Center Cir Ste 203, Fishersville, VA 229392273 | 5409325571 | 5409325772 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841809662 | Jonathan William Black | Acupuncturist | 630 S Grand Ave Ste 105, Santa Ana, CA 92705-4155 | 2020-07-28 |
| 1801234018 | Jonathan Andrew Black | Surgery | 701 19th St S 112 Lyons Harrison Research Building, Birmingham, AL 35294-7050 | 2013-06-10 |
| 1144521501 | Jonathan R Black | Psychologist | 2290 Nw 2nd Ave, Suite 7, Boca Raton, FL 33431-7457 | 2010-11-16 |
| 1700106184 | Jonathan Black | Student in an Organized Health Care Education/Training Program | 12741 Miramar Pkwy Ste 302, Miramar, FL 33027-2905 | 2010-06-08 |
| 1659588382 | Jonathan Black | Allergy & Immunology | 1 Richland Medical Park Dr, Suite 200, Columbia, SC 29203-6834 | 2007-05-16 |
| 1811078975 | Jonathan D Black | Orthopaedic Surgery | 7300 Sandlake Commons Blvd, Suite 220, Orlando, FL 32819-8050 | 2006-10-17 |
| Street Address |
1300 JEFFERSON PARK AVE |
| City | CHARLOTTESVILLE |
| State | VA |
| Zip Code | 22903-3363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477555399 | Bruce C Carter | Ophthalmology | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2005-08-11 |
| 1760089981 | Loretta Raiford | Internal Medicine | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2020-10-01 |
| 1588270342 | Rachel K Murray | Dietitian, Registered | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2020-09-17 |
| 1992321616 | Kristina Marie Creadore | Optometrist | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2020-06-18 |
| 1215558762 | Allison Gossen | Genetic Counselor, MS | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2020-05-06 |
| 1508409061 | Molly Stevenson Bailey | Dietitian, Registered | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2019-10-28 |
| 1497398994 | Rebecca Shea Turner | Dietitian, Registered | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2019-10-28 |
| 1215585443 | Katherine Emma Connell | Nurse Practitioner | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2019-08-30 |
| 1639724263 | Casey Erin Cavanagh | Psychologist | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2019-08-09 |
| 1679128482 | Jia Yu Liu | Optometrist | 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 | 2019-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326671009 | Ticynn Symone London | Specialist/Technologist | 723 Retriever Run, Ticynn London, Charlottesville, VA 22903 | 2020-02-20 |
| 1043853542 | Elaine Mccall | Dietitian, Registered | 1335 Jefferson Park Ave, Charlottesville, VA 22903 | 2019-10-28 |
| 1205480753 | Sean Robert Bennett | Clinic/Center | 433 Ednam Drive, Charlottesville, VA 22903 | 2019-08-01 |
| 1922562818 | Lynn Owen Taggart | Student in an Organized Health Care Education/Training Program | 300 Grassmere Rd, Charlottesville, VA 22903 | 2019-01-25 |
| 1831636166 | Sarah Michelle Richin | Social Worker | 709 A West Main St, Charlottesville, VA 22903 | 2017-01-25 |
| 1962868851 | Kelly Stewart Maurer | Counselor | 3101 Fontaine Avenue, Charlottesville, VA 22903 | 2016-01-07 |
| 1831592039 | Bearley Dental PC | Dentist | 901 Preston Ave, Suite 200, Charlottesville, VA 22903 | 2014-10-01 |
| 1730437823 | Frances Eva Demmerle | Neuromusculoskeletal Medicine & OMM | 1149 Rose Hill Dr., Charlottesville, VA 22903 | 2012-08-21 |
| 1801142229 | University of Virginia | General Acute Care Hospital | 1925 Beechcrest Court, Charlottesville, VA 22903 | 2012-08-03 |
| 1407123516 | Laura P. Handler | Counselor | 500 Old Lynchburg Rd., Region Ten Csb, Charlottesville, VA 22903 | 2011-11-18 |
| Find all providers in zip 22903 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912221755 | Brent R Degeorge | Plastic Surgery | 1300 Jefferson Park Ave Fourth Fl, Charlottesville, VA 22908-0136 | 2010-03-23 |
| 1083245161 | Charlottesville Plastic Surgery | Plastic Surgery | 1410 Incarnation Dr Ste 205a, Charlottesville, VA 22901-5708 | 2020-01-28 |
| 1508126327 | John T Stranix | Plastic Surgery | 1300 Jefferson Park Ave, Charlottesville, VA 22908-6402 | 2012-05-26 |
| 1821364852 | Brittany J Behar | Plastic Surgery | 415 Ray C Hunt Dr, Charlottesville, VA 22903 | 2012-03-23 |
| 1861798696 | Rhett N Willis Jr. | Plastic Surgery | 1410 Incarnation Dr Ste 205a, Charlottesville, VA 22901-5708 | 2011-01-26 |
| 1760696231 | Christopher A. Campbell | Plastic Surgery | 1300 Jefferson Park Ave Fl 4, Charlottesville, VA 22903-3363 | 2007-05-10 |
| 1689887150 | Sunil S Tholpady | Plastic Surgery | 1215 Lee St, Charlottesville, VA 22908-0001 | 2007-05-08 |
| 1629147251 | Thomas J. Gampper | Plastic Surgery | 1300 Jefferson Park Ave, Charlottesville, VA 22908-3363 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033734595 | Maia Plastic Surgery | Plastic Surgery | 8100 Boone Boulevard, Suite 730, Tysons Corner, VA 22182-2688 | 2020-06-10 |
| 1477026227 | Parva Plastic Reconstructive Surgery LLC | Plastic Surgery | 224d Cornwall St Nw Ste 300, Leesburg, VA 20176-2704 | 2019-01-04 |
| 1669975355 | Sarah Elizabeth Burchett | Plastic Surgery | 8730 Stony Point Pkwy Ste 120, Richmond, VA 23235-1959 | 2018-03-09 |
| 1861900110 | Jules A. Feledy, Jr., Md., Pllc | Plastic Surgery | 2071 Jefferson Davis Hwy, Stafford, VA 22554-7266 | 2018-01-19 |
| 1790201481 | Mid Atlantic Plastic Surgeons LLC | Plastic Surgery | 3301 Woodburn Road, Suite 202, Annandale, VA 22003 | 2017-08-15 |
| 1376068577 | Congressional Plastic Surgery, Inc. | Plastic Surgery | 8501 Arlington Blvd Ste 310, Fairfax, VA 22031-4625 | 2017-08-08 |
| 1710377189 | James Latane Ware | Plastic Surgery | 4103 Summit Ln, Richmond, VA 23221-3710 | 2015-01-23 |
| 1235483348 | Joseph Mitchell Jabbour | Plastic Surgery | 22071 Sam Fred Rd, Middleburg, VA 20117-3201 | 2012-10-29 |
| 1386907400 | Lewis Plastic Surgery, PC | Plastic Surgery | 2331a Robious Station Circle, Midlothian, VA 23113-4730 | 2012-06-22 |
| 1922377696 | Glenn Harvey Shepard | Plastic Surgery | 36 Barclay Rd, Newport News, VA 23606-1465 | 2011-12-23 |
| Find all providers with the same taxonomy | ||||
| City | CHARLOTTESVILLE |
| Zip Code | 22903 |
Please comment or provide details below to improve the information on JONATHAN S. 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.