KRISTIAN MARQUIS BLACK (NPI# 1659992741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659992741 |
| Entity Type | Individual |
| Full Name | KRISTIAN MARQUIS BLACK |
| Credential | MD |
| Practice Address |
1500 E Medical Center Drive Taubman Center, 2nd Floor, Reception C Ann Arbor MI 48109-5330 |
| Mailing Address |
1500 E Medical Center Drive 3875 Taubman Center, Spc 5330 Ann Arbor MI 48109-5330 |
| Practice Telephone | 7349367030 |
| Mailing Telephone | 7346150563 |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2020-04-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 4351045854 | MI | Student, Health Care |
| Street Address |
1500 E MEDICAL CENTER DRIVE TAUBMAN CENTER, 2ND FLOOR, RECEPTION C |
| City | ANN ARBOR |
| State | MI |
| Zip Code | 48109-5330 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023016805 | Barbara Rose Van Kainen | Midwife | 1500 E Medical Center Drive, Von Voigtlander Women's Hospital, Ann Arbor, MI 48109-4256 | 2005-07-14 |
| 1598372716 | Stephen Kofi Wemakor | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-09-30 |
| 1073138707 | Brigit Devine Baglien | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, 2130 Taubman Center, Spc 5340, Ann Arbor, MI 48109 | 2020-06-09 |
| 1598388605 | Madison Veronica Epperson | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, 1903 Taubman Center, Spc 5312, Ann Arbor, MI 48109-5312 | 2020-05-22 |
| 1811510175 | Nathan Emery Loudon | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh B1 502, Spc 5030, Ann Arbor, MI 48109-5030 | 2020-05-21 |
| 1770106304 | Drew Jackson Braet | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, 5346 Cvc Spc 5967, Ann Arbor, MI 48109 | 2020-05-18 |
| 1710509872 | Lawrence Jordan Breyfogle | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh B1d530, Spc 5030, Ann Arbor, MI 48109-5030 | 2020-05-12 |
| 1649891631 | Apoorv Dhir | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Taubman Center, 2nd Floor, Reception C, Ann Arbor, MI 48109-5330 | 2020-04-30 |
| 1972124063 | Jake Claflin | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Taubman Center, 2nd Floor, Reception C, Ann Arbor, MI 48109-5330 | 2020-04-30 |
| 1346861333 | Daniel Augustus Triner | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Taubman Center, 2nd Floor, Reception C, Ann Arbor, MI 48109-5330 | 2020-04-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1568083350 | Tucker Zimmer | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-03 |
| 1144841099 | Jessica Moore Meves | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Drive, Uh South F-6245, Ann Arbor, MI 48109 | 2020-05-01 |
| 1710522297 | Xiaoyuan Hu | Specialist/Technologist | Obl 2150, 1402 Washington Hts, Ann Arbor, MI 48109 | 2019-11-08 |
| 1376192401 | Regina Kay Freeman | Clinical Nurse Specialist | 4726 Cardiovascular Center, 1500 E Medical Center Dr, Ann Arbor, MI 48109 | 2019-09-11 |
| 1477114155 | William Philip Saunders IIi | Student in an Organized Health Care Education/Training Program | 300 N Ingalls Building, Rm Ni4co6, Ann Arbor, MI 48109 | 2019-06-24 |
| 1093290447 | Teresa H Lyden | Speech-Language Pathologist | 1500 E. Medical Center Dr., Spc 5312, 1904 Tc, Otolaryngology-head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1649755091 | Anna Grace Hardenbergh | Speech-Language Pathologist | 1500 E. Medical Center Drive Tc 1904, Otolaryngology Head and Neck Surgery, Ann Arbor, MI 48109 | 2018-10-02 |
| 1548754609 | Amy Wu | Pediatrics | 1500 East Medical Center Drive., Medical Professional Bldg. D-3238, Ann Arbor, MI 48109 | 2018-06-21 |
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| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234062 | Christopher Michael Kemp | Student in an Organized Health Care Education/Training Program | 1710 Hermitage Rd, Ann Arbor, MI 48104-4503 | 2020-10-29 |
| 1326647728 | Sevcan Turk | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Uh B2-a209, Dept. of Radiology, Neuroradiology Division, Ann Arbor, MI 48109-5030 | 2020-10-19 |
| 1124645080 | Emma Theis Schiestl | Student in an Organized Health Care Education/Training Program | 500 E Washington St Ste 11, Ann Arbor, MI 48104-2057 | 2020-06-26 |
| 1558987024 | Albert Byun | Student in an Organized Health Care Education/Training Program | 1500 E.medical Center Dr., 1h247, Ann Arbor, MI 48109 | 2020-06-22 |
| 1811513773 | Jomy Varghese | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr # 1h247, Ann Arbor, MI 48109-5000 | 2020-06-17 |
| 1891318895 | Michael James Ponkowski | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr, Spc 5332, Taubman Center, 2nd Floor, Reception F, Ann Arbor, MI 48109-5332 | 2020-05-26 |
| 1467075580 | Jonathan Edward Williams | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr. Spc 5332, Taubman Center, Second Floor, Reception F, Ann Arbor, MI 48109-5332 | 2020-05-22 |
| 1851914931 | Nadine Ibrahim | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Spc 5312, Taubman Center, 1st Floor, Room 1903, Ann Arbor, MI 48109 | 2020-05-22 |
| 1114540572 | Dustin Nguyen | Student in an Organized Health Care Education/Training Program | 400 E. Eisenhower Pkwy, Building 2, Suite B, Ann Arbor, MI 48108-3302 | 2020-05-20 |
| 1821611203 | Parth U Patel | Student in an Organized Health Care Education/Training Program | 1500 E Medical Center Dr Fl Center2, Taubman Center, 2nd Floor, Reception F, Ann Arbor, MI 48109-5000 | 2020-05-20 |
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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.