DR. TRACY M BLACK (NPI# 1700853660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700853660 |
| Entity Type | Individual |
| Full Name | DR. TRACY M BLACK |
| Credential | M.D. |
| Practice Address |
4220 N Roxboro St Durham NC 27704-1826 |
| Mailing Address |
5213 S Alston Ave Durham NC 27713-4430 |
| Practice Telephone | 9194711518 |
| Mailing Telephone | 9196204467 |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2013-01-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
9400724 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | MEDICARE LEGACY ID | 2337913 | 01 |
| NC | BCBS | 12086 | 01 |
| NC | RAILROAD | P00163549 | 01 |
| NC | AETNA | 4646370 | 01 |
| NC | 8912086 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467067272 | Tracy Ann Black | Behavior Technician | 9 Biltom Rd, White Plains, NY 10607-2301 | 2020-09-09 |
| 1033181193 | Tracy Reymore Black | Physician Assistant | 8208 Devon Court, Suite B, Myrtle Beach, SC 29572 | 2006-02-03 |
| 1255869434 | Tracy Diane Black | Speech-Language Pathologist | 1609 N Dixie Ave Ste 114, Elizabethtown, KY 42701-7494 | 2017-06-01 |
| 1235404757 | Tracy Black | Case Manager/Care Coordinator | 3230 Wisconsin Ave, Joplin, MO 64804-4029 | 2012-03-16 |
| Street Address |
4220 N ROXBORO ST |
| City | DURHAM |
| State | NC |
| Zip Code | 27704-1826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740609049 | Khuram Ashraf Bhutta | Internal Medicine | 4220 N Roxboro St, Durham, NC 27704-1826 | 2014-04-15 |
| 1184967051 | Ashley Brinn | Nurse Practitioner | 4220 N Roxboro St, Durham, NC 27704-1826 | 2013-03-29 |
| 1881984094 | Gregory Daniel Brown | Psychiatry & Neurology | 4220 N Roxboro St, Durham, NC 27704-1826 | 2011-04-10 |
| 1962721308 | Duke University Health System, Inc. | Family Medicine | 4220 N Roxboro St, Durham, NC 27704-1826 | 2010-05-25 |
| 1336371095 | Anne H Summach | Nurse Practitioner | 4220 N Roxboro St, Durham, NC 27704-1826 | 2009-08-13 |
| 1801021878 | Adia Kamali Ross | Internal Medicine | 4220 N Roxboro St, Durham, NC 27704-1826 | 2009-05-20 |
| 1659552263 | Alisa Hassinger | Physician Assistant | 4220 N Roxboro St, Durham, NC 27704-1826 | 2007-11-26 |
| 1528247996 | Private Diagnostic Clinic, Pllc | Internal Medicine | 4220 N Roxboro St, Durham, NC 27704-1826 | 2007-11-01 |
| 1609097708 | April Laverne Buscher | Internal Medicine | 4220 N Roxboro St, Durham, NC 27704-1826 | 2007-05-02 |
| 1932258944 | Susan P. Blackford | Internal Medicine | 4220 N Roxboro St, Durham, NC 27704-1826 | 2007-01-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245723139 | Devang Ashokbhai Patel | Dentist | 2609 N Duke St Ste 618, Durham, NC 27704 | 2018-06-14 |
| 1891201042 | Little Family Care Home, LLC | Custodial Care Facility | 1012 Davinci Street, Durham, NC 27704 | 2017-12-26 |
| 1033625702 | Tondra A Little | Social Worker | 2804 Nellowood Street, Durham, NC 27704 | 2017-12-18 |
| 1437502408 | Jhazmere Shamas Preston | Counselor | 2609 N. Duke St. Suite 403, Durham, NC 27704 | 2016-07-14 |
| 1649626656 | Professional Elevations Pllc | Case Manager/Care Coordinator | 304 Crutchfield Drive, Durham, NC 27704 | 2016-05-09 |
| 1083071617 | Alyssa Wilson | Speech-Language Pathologist | 215 William Penn Plz Apt 908, Durham, NC 27704 | 2016-01-27 |
| 1932565124 | Arthur Reynolds Jr and Associates P.l.l.c. | Dentist | 2106 N Duke St, Durham, NC 27704 | 2016-01-05 |
| 1962877720 | Chimere Brooks | Contractor | 4001meriwether Drive Apt P-19, Durham, NC 27704 | 2015-12-04 |
| 1184013294 | Danielle King | Physician Assistant | 3611 N Duke Street, Durham, NC 27704 | 2015-01-13 |
| 1730581901 | Images, 'of Me To You' | Community/Behavioral Health | 2823 Cascadilla Street, Durham, NC 27704 | 2014-09-19 |
| Find all providers in zip 27704 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093928376 | Jennifer Rowell | Internal Medicine | Duke University Medical Center Clinic 1a, 30 Duke Medicine Circle, Durham, NC 27710-0001 | 2007-05-07 |
| 1639205800 | Teresa Napier | Internal Medicine | Dumc 3510, Durham, NC 27710-0001 | 2007-02-24 |
| 1669516282 | Jean C. Litton | Internal Medicine | Dumc 3080, Durham, NC 27710-0001 | 2007-02-16 |
| 1811036585 | Francis Albert Neelon | Internal Medicine | 2609 N Duke St Bldg 800, Durham, NC 27704-3048 | 2007-02-06 |
| 1770674517 | Jennifer Brigitte Green | Internal Medicine | Duke University Medical Center/ Div of Endocrinology, Dumc Box 3222, Baker House Room 280, Durham, NC 27710-0001 | 2006-09-27 |
| 1700853777 | Karen Barnard | Internal Medicine | Baker House 227, Dumc, Durham, NC 27710-0001 | 2006-03-08 |
| 1376515635 | Nicole Elise Jelesoff | Internal Medicine | Dumc 3973, Duke University Medical Center, Durham, NC 27710-0001 | 2006-02-02 |
| 1174830426 | Samy Hadjadj | Internal Medicine | 106 Research Dr, Msrb II Room 2045, Durham, NC 27710-0004 | 2010-09-08 |
| 1306078803 | Private Diagnostic Clinic, Pllc | Internal Medicine | 501 Douglas St, Durham, NC 27705-3888 | 2009-08-17 |
| 1609019090 | Lauren Fritz Gratian | Internal Medicine | 30 Duke Medicine Cir, Durham, NC 27710-3000 | 2009-04-14 |
| Find all providers in DURHAM | ||||
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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.