Michelle M Black (NPI# 1083902316, PAC ID# 0648440123) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1083902316 |
| PAC ID by PECOS | 0648440123 |
| Professional Enrollment ID | I20110822000108 |
| Full Name | Michelle M Black |
| Organization Legal Name | MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES INC |
| Address |
120 Radnor Rd Suite 100 State College PA 16801-7970 |
| Phone Number | 8142317868 |
| Gender | F |
| Graduation Year | 2011 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 8426136797 |
| Number of Group Practice Members | 166 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 390268 | MOUNT NITTANY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 120 Radnor Rd, Suite 100, State College, PA 16801-7970 | 8142317868 | MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES INC |
| 1800 E Park Ave, Mount Nittany Physician Group, State College, PA 16803-6797 | 8142317000 | MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES INC |
| 1850 E Park Ave, State College, PA 16803-6706 | MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES INC |
| Organization Legal Name | MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES INC |
| Physicians | 164 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew J Rohrbacker | Nurse Practitioner | Mount Nittany Medical Center Health Services Inc | 1061 N Front St, 2 Mount Nittany Physician Group, Philipsburg, PA 16866-8257 |
| Melissa Ann Wallace | Nurse Practitioner | Mount Nittany Medical Center Health Services Inc | 905 University Dr, State College, PA 16801-6626 |
| David S. Gilbert | Physical Therapy | Mount Nittany Medical Center Health Services Inc | 2160 Sandy Dr, State College, PA 16803-2282 |
| Lynn E Diven | Registered Dietitian Or Nutrition Professional | Mount Nittany Medical Center Health Services Inc | 1850 E Park Ave, 312 Mount Nittany Physician Group, State College, PA 16803-6706 |
| Karen E Cherinka | Nurse Practitioner | Mount Nittany Medical Center Health Services Inc | 3631 Penns Valley Rd, Spring Mills, PA 16875-8011 |
| Brian T Reid | Physician Assistant | Mount Nittany Medical Center Health Services Inc | 1700 Old Gatesburg Rd, State College, PA 16803-2276 |
| Eileen M Maney | Physician Assistant | Mount Nittany Medical Center Health Services Inc | 100 Radnor Rd, Suite 101, State College, PA 16801-7986 |
| E. P. Roy Iii | Neurology | Mount Nittany Medical Center Health Services Inc | 2121 Old Gatesburg Rd, Suite 100, State College, PA 16803-2290 |
| Daniel Thomas Bigart | Qualified Audiologist | Mount Nittany Medical Center Health Services Inc | 3901 S Atherton St, 6 Mount Nittany Physician Group, State College, PA 16801-8324 |
| Michael J Murray | Family Medicine | Mount Nittany Medical Center Health Services Inc | 96 Kish Rd, Reedsville, PA 17084-8943 |
| Street Address |
120 RADNOR RD SUITE 100 |
| City | STATE COLLEGE |
| State | PA |
| Zip | 16801-7970 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jason L Goldberg | Internal Medicine | Mount Nittany Medical Center Health Services Inc | 120 Radnor Rd, Suite 100, State College, PA 16801-7970 |
| Christine L Tichansky | Emergency Medicine | Mount Nittany Medical Center Health Services Inc | 120 Radnor Rd, Suite 100, State College, PA 16801-7970 |
| Jennifer Patterson | Infectious Disease | Mount Nittany Medical Center Health Services Inc | 120 Radnor Rd, Suite 100, State College, PA 16801-7970 |
| Emily A Peterson | Plastic and Reconstructive Surgery | Mount Nittany Medical Center Health Services Inc | 120 Radnor Rd, Suite 100, State College, PA 16801-7970 |
| Joseph D Whitlark | Thoracic Surgery | Mount Nittany Medical Center Health Services Inc | 120 Radnor Rd, Suite 100, State College, PA 16801-7970 |
| Nicole J Young | Physician Assistant | Mount Nittany Medical Center Health Services Inc | 120 Radnor Rd, Suite 100, State College, PA 16801-7970 |
| Mark R Shaw | Emergency Medicine | Mount Nittany Medical Center Health Services Inc | 120 Radnor Rd, State College, PA 16801-7970 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amy E Flick | Physical Therapy | 2766 W College Ave, Suite 300, State College, PA 16801-2647 | |
| Gregory A Edwards | Chiropractic | 2766 W College Ave, Suite 200, State College, PA 16801-2647 | |
| Sharon L Pletcher | Podiatry | Sharon L. Pletcher, P.C., Inc | 1318 W College Ave, Family Foot Center, State College, PA 16801-2711 |
| Connie Gay Powell | Psychologist, Clinical | Centre Psychology Group | 1993 Cato Ave, State College, PA 16801-2754 |
| Khytam Dawood | Psychologist, Clinical | Centre Psychology Group | 1993 Cato Ave, State College, PA 16801-2754 |
| Nancy C Van Saun | Clinical Social Worker | Centre Psychology Group | 1993 Cato Ave, State College, PA 16801-2754 |
| Jeremiah Hicks | Clinical Social Worker | Centre Psychology Group | 1993 Cato Ave, State College, PA 16801-2754 |
| Michael M Keil | Psychologist, Clinical | Centre Psychology Group | 1993 Cato Ave, State College, PA 16801-2754 |
| Leta F Myers | Psychologist, Clinical | Centre Psychology Group | 1993 Cato Ave, State College, PA 16801-2754 |
| Craig D Brummert | Chiropractic | 3051 Enterprise Dr, State College, PA 16801-2756 | |
| Find all physicians in zip 16801 | |||
| City | STATE COLLEGE |
| Zip Code | 16801 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | STATE COLLEGE + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Michelle M 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.