Jonathan G Black (NPI# 1659588382, PAC ID# 0648426064) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ALLERGY/IMMUNOLOGY.
| Nation Provider ID (NPI) | 1659588382 |
| PAC ID by PECOS | 0648426064 |
| Professional Enrollment ID | I20120816000929 |
| Full Name | Jonathan G Black |
| Organization Legal Name | CAROLINA ALLERGY AND ASTHMA CONSULTANTS |
| Address |
100 Palmetto Health Pkwy Suite 340 Columbia SC 29212-1756 |
| Phone Number | 8037040701 |
| Gender | M |
| Medical School | MEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE |
| Graduation Year | 2005 |
| Primary Specialty | ALLERGY/IMMUNOLOGY |
| Group Practice PAC ID | 3173650876 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420018 | PALMETTO HEALTH RICHLAND |
| Address | Phone | Organization |
|---|---|---|
| 100 Palmetto Health Pkwy, Suite 340, Columbia, SC 29212-1756 | 8037040701 | CAROLINA ALLERGY AND ASTHMA CONSULTANTS |
| Organization Legal Name | CAROLINA ALLERGY AND ASTHMA CONSULTANTS |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael J Bykowsky | Allergy/immunology | Carolina Allergy and Asthma Consultants | 1 Richland Medical Park Dr, Suite 200, Columbia, SC 29203-6830 |
| David Perrick | Allergy/immunology | Carolina Allergy and Asthma Consultants | 1 Richland Medical Park Dr, Suite 200, Columbia, SC 29203-6830 |
| Robert Allen Vande Stouwe | Allergy/immunology | Carolina Allergy and Asthma Consultants | 1 Richland Medical Park Dr, Suite 200, Columbia, SC 29203-6830 |
| Street Address |
100 PALMETTO HEALTH PKWY SUITE 340 |
| City | COLUMBIA |
| State | SC |
| Zip | 29212-1756 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James T Miller | Nurse Practitioner | Doctors Care, Pa | 100 Palmetto Health Pkwy, Suite 104, Columbia, SC 29212-1754 |
| Kimberly Frick | Nurse Practitioner | Palmetto Health-university of South Carolina Medical Group | 100 Palmetto Health Pkwy, Suite 220, Columbia, SC 29212-1755 |
| Claire L Birdsong | Family Medicine | Palmetto Health-university of South Carolina Medical Group | 100 Palmetto Health Pkwy, Suite 220, Columbia, SC 29212-1755 |
| Michelle L Blakley | Nurse Practitioner | Palmetto Health-university of South Carolina Medical Group | 100 Palmetto Health Pkwy, Suite 220, Columbia, SC 29212-1755 |
| Janice M Wiggins | Family Medicine | Palmetto Health-university of South Carolina Medical Group | 100 Palmetto Health Pkwy, Suite 220, Columbia, SC 29212-1755 |
| Payam Yousefian | General Practice | Doctors Care, Pa | 100 Palmetto Health Pkwy, Suite 104, Columbia, SC 29212-1754 |
| Jaqui A Jones | Family Medicine | Palmetto Health-university of South Carolina Medical Group | 100 Palmetto Health Pkwy, Suite 220, Columbia, SC 29212-1755 |
| Carlos M Torres | Family Medicine | Palmetto Health-university of South Carolina Medical Group | 100 Palmetto Health Pkwy, Suite 220, Columbia, SC 29212-1755 |
| Janice D Black | Nurse Practitioner | Doctors Care, Pa | 100 Palmetto Health Pkwy, Suite 104, Columbia, SC 29212-1754 |
| Christian C Steen | Family Medicine | Palmetto Health-university of South Carolina Medical Group | 100 Palmetto Health Pkwy, Suite G100, Columbia, SC 29212-1754 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trista Loren Hewett | Nurse Practitioner | Lexington County Health Services District Inc | 7037 Saint Andrews Rd, Columbia, SC 29212-1177 |
| Rebecca Lucas Clemenz | Dermatology | 7039 Saint Andrews Rd, Columbia, SC 29212-1177 | |
| Elizabeth A Boison | Nurse Practitioner | Lexington County Health Services District Inc | 7035 Saint Andrews Rd, Suite 203, Columbia, SC 29212-1177 |
| Christopher J Rubel | Family Practice | Firstchoice Healthcare PC | 7021 Saint Andrews Rd, Suite 1, Columbia, SC 29212-1177 |
| Donald L Powell | Emergency Medicine | Lexington County Health Services District Inc | 7035 Saint Andrews Rd, Columbia, SC 29212-1177 |
| Lashell L Head | Nurse Practitioner | Lexington County Health Services District Inc | 7035 Saint Andrews Rd, Columbia, SC 29212-1177 |
| Katie M Smyers | Physical Therapy | Lexington County Health Services District Inc | 7035 Saint Andrews Rd, Suite 203, Columbia, SC 29212-1177 |
| Walter B Harman Jr. | Certified Registered Nurse Anesthetist (crna) | Lexington County Health Services District Inc | 7035 Saint Andrews Rd, Columbia, SC 29212-1177 |
| Rodney Charles Wadley | Preventative Medicine | Lexington County Health Services District Inc | 7035 Saint Andrews Rd, Columbia, SC 29212-1177 |
| Katie Frick | Physical Therapy | Lexington County Health Services District Inc | 7035 Saint Andrews Rd, Suite 203, Columbia, SC 29212-1177 |
| Find all physicians in zip 29212 | |||
| City | COLUMBIA |
| Zip Code | 29212 |
| Specialty | ALLERGY/IMMUNOLOGY |
| City + Specialty | COLUMBIA + ALLERGY/IMMUNOLOGY |
Please comment or provide details below to improve the information on Jonathan G Black.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.