DR. WILLIAM H BLACK (NPI# 1912166703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912166703 |
| Entity Type | Individual |
| Full Name | DR. WILLIAM H BLACK |
| Credential | M.D. |
| Practice Address |
2500 N State St Jackson MS 39216-4500 |
| Mailing Address |
2500 N State St Ummc-department of Dermatology Jackson MS 39216-4500 |
| Practice Telephone | 6018158000 |
| Mailing Telephone | 6018153374 |
| Mailing Fax Number | 6018536307 |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2017-10-06 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
22568 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | RAILROAD MEDICARE PTAN | P01454816 | 01 |
| MS | 05637711 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194255620 | William Black | Dentist | Room 1200 Hsc North, P.o. Box 9475, Morgantown, WV 26506 | 2017-06-18 |
| 1043628928 | William Black | Pharmacist | 343 S 500 E Apt 217, Salt Lake City, UT 84102-4024 | 2014-07-23 |
| 1275731721 | William Edward Black | Dentist | 182 East Washington Street, Chambersburg, PA 17201 | 2007-07-06 |
| 1972716314 | William Jesse Black | Counselor | 77 W 5th St, Zumbrota, MN 55992-1650 | 2007-05-08 |
| 1497878334 | William Howard Black | Internal Medicine | 7129 Duckhorn Ln, The Colony, TX 75056-5342 | 2007-04-07 |
| 1902935349 | William Edward Black | Dentist | 1612 N 2nd St, Harrisburg, PA 17102-2438 | 2007-03-03 |
| 1063591162 | William Thomas Black | Optometrist | 420 E Elm St, Caldwell, ID 83605-4846 | 2006-11-02 |
| 1326121211 | William R Black | Preventive Medicine | 1313 S Range Line Rd, Joplin, MO 64801-5588 | 2006-10-23 |
| 1467532010 | William Black | Internal Medicine | 2015 Steiner St, San Francisco, CA 94115-2627 | 2006-10-17 |
| 1609800598 | William L Black Jr. | Internal Medicine | 1485 Chester Blvd, Richmond, IN 47374-1919 | 2006-07-10 |
| Street Address |
2500 N STATE ST |
| City | JACKSON |
| State | MS |
| Zip Code | 39216-4500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477556231 | University Ophthalmology Associates | Ophthalmology | 2500 N State St, Ste B329, Jackson, MS 39216-4500 | 2005-05-24 |
| 1396346607 | Ashleigh Renfroe Hannah | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2020-11-03 |
| 1770182438 | Tara P. Carter | Nurse Practitioner | 2500 N State St, Jackson, MS 39216-4500 | 2020-10-22 |
| 1679189849 | Raegan Wilson | Registered Nurse | 2500 N State St, Jackson, MS 39216-4500 | 2020-09-22 |
| 1851905095 | Violet Maloba Awori | Student in an Organized Health Care Education/Training Program | 2500 N State St, Jackson, MS 39216-4500 | 2020-09-04 |
| 1295348639 | Kassidy Voinche | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-25 |
| 1215549423 | Brittney Leeann Williams | Pharmacist | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-19 |
| 1912519364 | Rashmi Verma | Internal Medicine | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-18 |
| 1982215414 | Anita Dhanrajani | Pediatrics | 2500 N State St, Jackson, MS 39216-4500 | 2020-08-10 |
| 1528676954 | Nicholas Mcafee | Psychologist | 2500 N State St, Jackson, MS 39216-4500 | 2020-07-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861011553 | Ashley Melancon Prewitt | Registered Nurse | St. Dominic's North Campus, Behavioral Health, Jackson, MS 39216 | 2020-04-13 |
| 1194353391 | Brianna Arrington | Student in an Organized Health Care Education/Training Program | Med/ Peds, 2500 N. State St., Jackson, MS 39216 | 2020-04-01 |
| 1720616485 | Roshina Khalid Khan | Student in an Organized Health Care Education/Training Program | Department of Anesthesiology, Ummc, 2500 N. State St., Jackson, MS 39216 | 2020-03-30 |
| 1275183550 | Amanda Lynn Morellato | Dentist | Ummc School of Dentistry, 2500 North State Street, Jackson, MS 39216 | 2019-09-18 |
| 1396305553 | Abhishek Chhabra | Student in an Organized Health Care Education/Training Program | Lakeland Family Medicine Clinic, 878 Lakeland Dr., Jackson, MS 39216 | 2019-06-19 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1346807773 | Shukundala C Smith | Behavior Technician | New Learning Resources 2510 Lakeland Terrace, Jackson, MS 39216 | 2019-05-21 |
| 1063901098 | G Eli Howell Md Pllc | Plastic Surgery | 971 Lakeland Dr Ste 225, Jackson, MS 39216 | 2018-05-04 |
| 1588168132 | Caleb Zumbro | Student in an Organized Health Care Education/Training Program | Ummc Med/peds, 2500 N. State St., Jackson, MS 39216 | 2018-03-20 |
| 1639677230 | Walgreen Co | Pharmacy | 971 Lakeland Dr Ste 101, Jackson, MS 39216 | 2018-01-29 |
| Find all providers in zip 39216 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669518668 | Western Wyoming Dermatology & Surgery PC | Dermatology | 62 Redmond Street, Jackson, WY 83002-7406 | 2007-01-29 |
| 1861538860 | Christian Brook Anderson | Dermatology | 62 Redmond Street, Jackson, WY 83002-7406 | 2007-01-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578583514 | Terry Westmoreland | Dermatology | 2110 5th St N, Columbus, MS 39705-2210 | 2006-07-20 |
| 1497159453 | Pine Belt Dermatology and Skin Cancer Center | Dermatology | 201 S Main St, Petal, MS 39465-2362 | 2014-10-20 |
| 1194124834 | David B Roy Do Pa | Dermatology | 201 S Main St, Petal, MS 39465-2362 | 2014-08-19 |
| 1073828455 | South Central Clinics, Inc | Dermatology | 1410 Jefferson St, Laurel, MS 39440-4243 | 2010-08-10 |
Please comment or provide details below to improve the information on DR. WILLIAM H BLACK.
| 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.