DR. KATHERINE ROLLINS BLACK (NPI# 1801018122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801018122 |
| Entity Type | Individual |
| Full Name | DR. KATHERINE ROLLINS BLACK |
| Credential | MD |
| Practice Address |
1130 Nw 22nd Ave Ste 410 Portland OR 97210-2911 |
| Practice Telephone | 5032297137 |
| Practice Fax Number | 5032410628 |
| Mailing Telephone | 5032297137 |
| Mailing Fax Number | 5032410628 |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2013-03-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD156824 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | PROVIDER STATE LICENSE | MD156824 | 01 |
| OR | 500647193 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881056646 | Katherine Black | Pediatrics | 10233 Doctors Office Tower 2200 Children's Way, Nashville, TN 37232 | 2016-03-22 |
| 1922631027 | Katherine Mackenzie Black | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-02-17 |
| 1700442613 | Katherine Marie Black | Occupational Therapist | 2400 Maryland Rd Ste 20, Willow Grove, PA 19090-1732 | 2019-05-15 |
| 1841750825 | Katherine Black | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2019-03-25 |
| 1700342540 | Katherine L Black | Social Worker | 1543 Kingsley Ave Ste 14, Orange Park, FL 32073-4570 | 2019-02-18 |
| 1053886283 | Katherine Nichole Black | Social Worker | 635 Cox Rd Ste B, Gastonia, NC 28054-3441 | 2018-10-03 |
| 1821523218 | Katherine Black | Technician, Other | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-04-24 |
| 1699041848 | Katherine Ward Black | Dermatology | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2012-03-31 |
| 1033315551 | Katherine A. Black | Anesthesiology | 1215 Lee St, Charlottesville, VA 22908-0001 | 2007-06-22 |
| 1811014830 | Katherine Thomas Black | Social Worker | 12099 W Washington Blvd, Suite 200, Los Angeles, CA 90066-5882 | 2007-03-23 |
| Street Address |
1130 NW 22ND AVE STE 410 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97210-2911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841290699 | Ronald J. Hapke | Internal Medicine | 1130 Nw 22nd Ave Ste 410, Portland, OR 97210-2911 | 2005-07-22 |
| 1750538146 | Maria Nina Villarreal | Registered Nurse | 1130 Nw 22nd Ave Ste 410, Portland, OR 97210-2911 | 2008-08-27 |
| 1942417118 | Saad Fahmi Jazrawi | Specialist | 1130 Nw 22nd Ave Ste 410, Portland, OR 97210-2911 | 2007-05-17 |
| 1831315829 | Erich David Vorlop | Internal Medicine | 1130 Nw 22nd Ave Ste 410, Portland, OR 97210-2911 | 2007-04-18 |
| 1407933872 | Northwest Gastroenterology Clinic LLC | Specialist | 1130 Nw 22nd Ave Ste 410, Portland, OR 97210-2911 | 2006-11-01 |
| 1366529638 | Ngc Endoscopy Services LLC | Clinic/Center | 1130 Nw 22nd Ave Ste 410, Portland, OR 97210-2911 | 2006-11-01 |
| 1962590570 | Matthew Andres Smith | Internal Medicine | 1130 Nw 22nd Ave Ste 410, Portland, OR 97210-2911 | 2006-10-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109086 | Joseph Francolino | Massage Therapist | 2174 Nw Davis Street, Apartment 105, Portland, OR 97210 | 2020-03-17 |
| 1215574058 | Northwest Dbt LLC | Psychologist | 2230 Nw Pettygrove St., Suite 130, Portland, OR 97210 | 2019-11-27 |
| 1649769480 | Dipesh Patel | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Ave. Legacy Clinic Good Samaritan, Portland, OR 97210 | 2018-05-08 |
| 1760987234 | Meghan Teague | Student in an Organized Health Care Education/Training Program | Legacy Good Samaritan Medical Center- Gme, 1015 Nw 22nd Ave, Portland, OR 97210 | 2018-03-27 |
| 1205349172 | Paul M Storm | Acupuncturist | 1708 Nw 25th Ave. Apt. #6, Portland, OR 97210 | 2017-11-14 |
| 1740703750 | Audra K Berning | Massage Therapist | 2122 Nw Quimby, Root Whole Body, Portland, OR 97210 | 2017-07-21 |
| 1720539810 | Anna-marie Elizabeth Wood | Audiologist | 2222 Nw Lovejoy St Ste 662, Portland, OR 97210 | 2016-10-24 |
| 1659829836 | H&s Pearl, LLC | Massage Therapist | 25 Nw 23rd Pl, Suite 7, Portland, OR 97210 | 2016-09-15 |
| 1255785796 | Cortez Natural Medicine, Inc. | Acupuncturist | 2230 Nw Pettygove Street, Unit 130, Portland, OR 97210 | 2016-04-21 |
| 1932563616 | Vincent Chen | Student in an Organized Health Care Education/Training Program | 1200 Nw 23rd Avenue, Legacy Clinic Good Samaritan, Portland, OR 97210 | 2016-04-08 |
| Find all providers in zip 97210 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| 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 |
|---|---|---|---|---|
| 1003175464 | Arnab Mitra | Internal Medicine | 3181 Sw Sam Jackson Park Road, L461, Oregon Health and Science University, Portland, OR 97239-3098 | 2012-05-04 |
| 1154584241 | Dana N Hemmati | Internal Medicine | 10000 Se Main St Ste 112, Portland, OR 97216-2441 | 2008-07-08 |
| 1619138401 | Casco Bay Gastroenterology LLC | Internal Medicine | 195 Fore River Pkwy Ste 490, Portland, ME 04102-2779 | 2008-06-24 |
| 1750587945 | Charles Clark Gabbert II | Internal Medicine | 1111 Ne 99th Ave Ste 301, Portland, OR 97220-9442 | 2007-06-25 |
| 1457556086 | Marc Karl Binder | Internal Medicine | 1125 Nw 9th Ave, #431, Portland, OR 97209-2864 | 2007-06-14 |
| 1356569529 | Newell A Augur Jr. | Internal Medicine | 16 Chadwick St, Portland, ME 04102-3504 | 2007-04-23 |
| 1326117771 | John Lee Haughom | Internal Medicine | 0841 Sw Gaines St Unit 2204, Portland, OR 97239-3105 | 2006-11-07 |
| 1356431464 | Hsichao Chow | Internal Medicine | 10000 Se Main St 112, Gastroenterology Assoc, Portland, OR 97216-2441 | 2006-10-13 |
| 1356356851 | Kandice Leigh Knigge | Internal Medicine | 3181 Sw Sam Jackson Park Rd # 310, Portland, OR 97239-3011 | 2006-07-31 |
| 1841290699 | Ronald J. Hapke | Internal Medicine | 1130 Nw 22nd Ave Ste 410, Portland, OR 97210-2911 | 2005-07-22 |
| Find all providers in PORTLAND | ||||
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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.