JONATHAN ANDREW BLACK


Address: 701 19th St S 112 Lyons Harrison Research Building, Birmingham, AL 35294-7050
Phone: 0593401672

JONATHAN ANDREW BLACK (NPI# 1801234018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801234018
Entity Type Individual
Full Name JONATHAN ANDREW BLACK
Credential MD
Practice Address 701 19th St S 112 Lyons Harrison Research Building
Birmingham
AL 35294-7050
Mailing Address 701 19th St S
Birmingham
AL 35233-1926
Practice Telephone 0593401672
Mailing Telephone 2059340167
Enumeration Date 2013-06-10
Last Update Date 2019-03-11
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0127X Surgery
Specialization: Trauma Surgery
36874 AL Allopathic & Osteopathic Physicians

Other Providers JONATHAN BLACK

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1841809662 Jonathan William Black Acupuncturist 630 S Grand Ave Ste 105, Santa Ana, CA 92705-4155 2020-07-28
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
1548463300 Jonathan S. Black Pediatrics 1300 Jefferson Park Ave, Charlottesville, VA 22903-3363 2007-06-08
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

Office Location

Street Address 701 19TH ST S 112 LYONS HARRISON RESEARCH BUILDING
City BIRMINGHAM
State AL
Zip Code 35294-7050

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578055943 Ashley Becking Smith Optometrist 1716 University Blvd G090a, Birmingham, AL 35294 2018-06-01
1235635780 Ruoting Wei Nurse Practitioner Uab Nephrology Tht 6th Floor 1720 2nd Ave South, Birmingham, AL 35294 2018-04-03
1295235372 Ruben Angiolo Mazzucchelli Student in an Organized Health Care Education/Training Program 901 Fot; 510 20th Street South, Uab Department of Orthopaedic Surgery, Birmingham, AL 35294 2018-02-15
1528571981 Alison Rachel Thomas Social Worker Uab Community Psychiatry 908 20th Street South Rm 487, Birmingham, AL 35294 2017-11-08
1346752490 Sara Michelle Kimbrell Nurse Practitioner 701 S. 19th Street, Lhr 112, Birmingham, AL 35294 2017-10-30
1801338785 Melissa Robinson Specialist/Technologist 608 13th St South, Wb104, Birmingham, AL 35294 2016-11-09
1487020897 Heriberto Enrique Matos Santana Student in an Organized Health Care Education/Training Program 1900 University Blvd Tht Building 311, Birmingham, AL 35294 2015-08-19
1073908364 Jamie Youngshin Kim Dentist 1919 7th Avenue South, Sdb 305, University of Alabama School of Dentistry, Birmingham, AL 35294 2015-04-02
1407257629 Kathryn Johannah Langley Nurse Practitioner 1530 3rd Avenue So, Tht 422, Birmingham, AL 35294 2014-09-08
1427463702 Lakeshia Thomas Student in an Organized Health Care Education/Training Program 1919-7th Avenue South, 304a, Birmingham, AL 35294 2014-06-25
Find all providers in zip 35294

Taxonomy Information

Taxonomy Code 2086S0127X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Trauma Surgery

Taxonomy Definition

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.
Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558520106 Rondi Beth Gelbard Surgery 701 S 19th Street, Birmingham, AL 35294 2008-06-07
1164935672 Jan Olaf Jansen Surgery 1813 6th Ave S, Birmingham, AL 35233-1920 2017-11-07
1417275132 Rachel Dowlen Rodriguez Surgery 619 S 19th St, Birmingham, AL 35249-0001 2010-05-05
1912153172 Shannon L Carroll Surgery 701 19th St S, Birmingham, AL 35294-0001 2008-08-07
1376703959 James Hwang Surgery 1813 6th Ave S, Birmingham, AL 35233-1920 2008-06-17
1093706467 John Bradley Holcomb Surgery 619 19th St S, Birmingham, AL 35249 2005-11-03

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1265508626 Healthcare Authority of The City of Huntsville Surgery 201 Sivley Rd Sw Ste 400, Huntsville, AL 35801-5177 2006-11-28
1073553897 James M Corder IIi Surgery 1820 Rice Mine Rd N, Suite 200, Tuscaloosa, AL 35406-3281 2006-06-08
1114330008 West Alabama Physician Associates LLC Surgery 701 University Blvd E, Suite 604, Tuscaloosa, AL 35401-2086 2014-06-09
1730236555 Farin Wayne Smith Surgery 201 Sivley Rd Sw, Suite 400, Huntsville, AL 35801-5134 2007-01-04
1659454254 John Mark Vermillion Surgery 2055 East South Blvd, Suite 601, Montgomery, AL 36116-0000 2006-10-24
1487675740 Sidney B Brevard Surgery 2451 Fillingim St, Mobile, AL 36617-2238 2006-07-22

Competitor

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City BIRMINGHAM
Zip Code 35294

Improve Information

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Dataset Information

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.

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