JENNIFER OLIVIA BLACK


Address: 13123 E 16th Ave, Aurora, CO 80045-7106
Phone: 7207771234

JENNIFER OLIVIA BLACK (NPI# 1871736579) 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) 1871736579
Entity Type Individual
Full Name JENNIFER OLIVIA BLACK
Credential M.D.
Practice Address 13123 E 16th Ave
Aurora
CO 80045-7106
Mailing Address Po Box 110429
Aurora
CO 80042-0429
Practice Telephone 7207771234
Enumeration Date 2009-04-09
Last Update Date 2019-12-19
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207ZP0213X Pathology
Specialization: Pediatric Pathology
DR.0053626 CO Allopathic & Osteopathic Physicians
N 207ZP0213X Pathology
Specialization: Pediatric Pathology
MD44894 TN Allopathic & Osteopathic Physicians

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1508387309 Jennifer Black Assistant Behavior Analyst 5601 Arnold Rd Fl 100, Dublin, CA 94568-7726 2017-06-30
1912370354 Jennifer Black Social Worker 609 Independence Pkwy Ste 115, Chesapeake, VA 23320-5209 2015-11-06
1609263821 Jennifer Black Acupuncturist 5812 N Figueroa St, Los Angeles, CA 90042-4228 2015-04-26
1679978191 Jennifer Black Counselor 20302 Col Glenn Road, Little Rock, AR 72210 2014-10-27
1891195749 Jennifer Black Counselor 1518 Andrews Ave Ste D, Ozark, AL 36360-3716 2014-08-28
1669816500 Jennifer Black Counselor 916 Nw 42nd St, Oklahoma City, OK 73118-6805 2013-04-22
1821381096 Jennifer Black Counselor 560 Mill St Ste 250, Reno, NV 89502-1089 2011-05-20
1376872754 Jennifer A Black Massage Therapist 3809 Atrisco Dr Nw, Suite C, Albuquerque, NM 87120-4902 2009-12-15

Office Location

Street Address 13123 E 16TH AVE
City AURORA
State CO
Zip Code 80045-7106

Providers in the same location

NPI Name Taxonomy Address Enumeration
1801890447 Cheryl Cavallaro Nurse Practitioner 13123 E 16th Ave, Aurora, CO 80045-7106 2005-06-10
1730789157 Lauren S Henry Psychologist 13123 E 16th Ave, Aurora, CO 80045-7106 2020-10-26
1801494620 Elan Webb Anesthesiologist Assistant 13123 E 16th Ave, Aurora, CO 80045-7106 2020-10-14
1821695388 Maria Clara Rios Nurse Practitioner 13123 E 16th Ave, Aurora, CO 80045-7106 2020-10-07
1306453485 Ozlem Turan Student in an Organized Health Care Education/Training Program 13123 E 16th Ave, Aurora, CO 80045-7106 2020-09-23
1497361406 Chelsea Hartman Nurse Practitioner 13123 E 16th Ave, Aurora, CO 80045-7106 2020-09-16
1407460447 Milena Teresa Hathaway Social Worker 13123 E 16th Ave, Aurora, CO 80045-7106 2020-09-08
1386258622 Ann Lantagne Psychologist 13123 E 16th Ave, Aurora, CO 80045-7106 2020-09-03
1780295824 Jelena Brezo Medical Genetics 13123 E 16th Ave, Aurora, CO 80045-7106 2020-08-12
1154930808 Audrey Niemchick Student in an Organized Health Care Education/Training Program 13123 E 16th Ave, Aurora, CO 80045-7106 2020-07-29
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1942817408 Salwa Mourtada Bamba Nurse Practitioner University of Colorado Medicine, 12631 East 17th Avenue, Aurora, CO 80045 2020-09-29
1114545233 Chun Cheong Tsui Student in an Organized Health Care Education/Training Program 12801 E. 17th Avenue, Ms 8117, Aurora, CO 80045 2020-07-07
1487278719 James Charles Tuka IIi Social Worker 1700 North Wheeling, Aurora, CO 80045 2020-06-02
1427677806 Justin Yu Student in an Organized Health Care Education/Training Program 12631 E. 17th Ave. Ms B205, Aurora, CO 80045 2020-04-15
1558980011 Erik Von Polsdofer Student in an Organized Health Care Education/Training Program Academic Office 1; Department of Pathology, 12631 East 17th Avenue, Aurora, CO 80045 2020-04-14
1831718568 Luke Porter Bacon Student in an Organized Health Care Education/Training Program 3001 East 17th Place, Aurora, CO 80045 2020-04-13
1366061368 Hilary Novatt Student in an Organized Health Care Education/Training Program 12631 E 17th Ave, B198-6, Room 4007, Aurora, CO 80045 2020-04-10
1376195362 Katie Tuck Pharmacist 1700 North Wheeling Street (119), Fs-111o, Aurora, CO 80045 2019-07-10
1518529130 Ronak Kamal Kapadia Student in an Organized Health Care Education/Training Program 12700 E. 19th Ave, Ms B182 Rm 5104, Aurora, CO 80045 2019-07-03
1245898253 Rasha Elbadry Ahmed Student in an Organized Health Care Education/Training Program Childrens Hospital Colorado Pediatric Neurosurgery, 13123e. 16th Ave, B330, Aurora, CO 80045 2019-06-04
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Taxonomy Information

Taxonomy Code 207ZP0213X
Grouping Allopathic & Osteopathic Physicians
Classification Pathology
Specialization Pediatric Pathology

Taxonomy Definition

A pediatric pathologist is expert in the laboratory diagnosis of diseases that occur during fetal growth, infancy and child development. The practice requires a strong foundation in general pathology and substantial understanding of normal growth and development, along with extensive knowledge of pediatric medicine.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1144293283 Csaba Galambos Pathology 132123 E. 16th Ave, Aurora, CO 80045-7106 2006-02-09
1518353721 Bryce Erin Pasko Pathology 13123 E 16th Ave, Aurora, CO 80045-7106 2015-04-14
1720474562 Nicholas Willard Pathology 13123 E 16th Ave, Aurora, CO 80045-7106 2015-04-08
1306005442 Michael Andrew Arnold Pathology 13123 E 16th Ave, Aurora, CO 80045-7106 2008-06-04

Competitor

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City AURORA
Zip Code 80045

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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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