Jerrold Black (NPI# 1104833904, PAC ID# 2961445655) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1104833904 |
| PAC ID by PECOS | 2961445655 |
| Professional Enrollment ID | I20110606000720 |
| Full Name | Jerrold Black |
| Organization Legal Name | VIRGINIA URGENT CARE LLC |
| Address |
3990 Fettler Park Dr Dumfries VA 22025-1997 |
| Phone Number | 5714995813 |
| Gender | M |
| Credential | MD |
| Medical School | UNIVERSITY OF MISSOURI, KANSAS CITY, SCHOOL OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 2062572456 |
| Number of Group Practice Members | 17 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 3990 Fettler Park Dr, Dumfries, VA 22025-1997 | 5714995813 | VIRGINIA URGENT CARE LLC |
| Organization Legal Name | VIRGINIA URGENT CARE LLC |
| Physicians | 22 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judy L Reynolds | Nurse Practitioner | Virginia Urgent Care LLC | 15 S Gateway Dr, Suite 101, Fredericksburg, VA 22406-1231 |
| Jessica L Biagas | Physician Assistant | Virginia Urgent Care LLC | 12581 Milstead Way, Suite 103, Woodbridge, VA 22192-5425 |
| Kevin Kendell Young | Physician Assistant | Virginia Urgent Care LLC | 12581 Milstead Way, Suite 103, Woodbridge, VA 22192-5425 |
| Donald M Bradshaw | Family Medicine | Virginia Urgent Care LLC | 3990 Fettler Park Dr, Dumfries, VA 22025-1997 |
| Stephanie J Navas | Physician Assistant | Virginia Urgent Care LLC | 3990 Fettler Park Dr, Dumfries, VA 22025-1997 |
| Hannah Acker Whitney | Nurse Practitioner | Virginia Urgent Care LLC | 3990 Fettler Park Dr, Dumfries, VA 22025-1997 |
| Kaniza Fatema | Interventional Pain Management | Virginia Urgent Care LLC | 3990 Fettler Park Dr, Dumfries, VA 22025-1997 |
| Maghan R Burge | Nurse Practitioner | Virginia Urgent Care LLC | 3990 Fettler Park Dr, Dumfries, VA 22025-1997 |
| Rene G Sanders | Nurse Practitioner | Virginia Urgent Care LLC | 15 S Gateway Dr, Suite 101, Fredericksburg, VA 22406-1231 |
| Brooke Schmerfeld | Physician Assistant | Virginia Urgent Care LLC | 3990 Fettler Park Dr, Dumfries, VA 22025-1997 |
| Street Address |
3990 FETTLER PARK DR |
| City | DUMFRIES |
| State | VA |
| Zip | 22025-1997 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald M Bradshaw | Family Medicine | Virginia Urgent Care LLC | 3990 Fettler Park Dr, Dumfries, VA 22025-1997 |
| Stephanie J Navas | Physician Assistant | Virginia Urgent Care LLC | 3990 Fettler Park Dr, Dumfries, VA 22025-1997 |
| Hannah Acker Whitney | Nurse Practitioner | Virginia Urgent Care LLC | 3990 Fettler Park Dr, Dumfries, VA 22025-1997 |
| Kaniza Fatema | Interventional Pain Management | Virginia Urgent Care LLC | 3990 Fettler Park Dr, Dumfries, VA 22025-1997 |
| Maghan R Burge | Nurse Practitioner | Virginia Urgent Care LLC | 3990 Fettler Park Dr, Dumfries, VA 22025-1997 |
| Brooke Schmerfeld | Physician Assistant | Virginia Urgent Care LLC | 3990 Fettler Park Dr, Dumfries, VA 22025-1997 |
| Mark James Tedesco | Family Medicine | Virginia Urgent Care LLC | 3990 Fettler Park Dr, Dumfries, VA 22025-1997 |
| Jacqueline M Breen | Family Medicine | Virginia Urgent Care LLC | 3990 Fettler Park Dr, Dumfries, VA 22025-1997 |
| Mukul Mallick | Physician Assistant | Virginia Urgent Care LLC | 3990 Fettler Park Dr, Dumfries, VA 22025-1997 |
| Melissa B Bell | Nurse Practitioner | Virginia Urgent Care LLC | 3990 Fettler Park Dr, Dumfries, VA 22025-1997 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dennis S Stachelek | Chiropractic | 5069 Waterway Dr, Dumfries, VA 22025-1259 | |
| Courtney Marie Wilt | Physical Therapy | Tidewater Physical Therapy LLC | 4214 Fortuna Ctr Plz, Dumfries, VA 22025-1515 |
| Jeffrey Maurer | Physical Therapy | Tidewater Physical Therapy LLC | 4214 Fortuna Ctr Plz, Dumfries, VA 22025-1515 |
| Trevor Thomson | Physical Therapy | Tidewater Physical Therapy LLC | 4214 Fortuna Ctr Plz, Dumfries, VA 22025-1515 |
| Ryan P Eastridge | Physical Therapy | Tidewater Physical Therapy LLC | 4214 Fortuna Ctr Plz, Dumfries, VA 22025-1515 |
| Rachel A Harding | Physical Therapy | Tidewater Physical Therapy LLC | 4214 Fortuna Ctr Plz, Dumfries, VA 22025-1515 |
| Naeem Khan | Family Medicine | 17017 Dumfries Rd, Dumfries, VA 22025-1927 | |
| Douglas K Chan | Physical Therapy | Professional Physical Therapy LLC | 3767 Fettler Park Dr, Dumfries, VA 22025-1946 |
| Mubasher Fazal | Hospitalist | 3763 Fettler Park Dr, Dumfries, VA 22025-1946 | |
| Francesse M Bataille | Internal Medicine | 3771 Fettler Park Dr, Dumfries, VA 22025-1946 | |
| Find all physicians in zip 22025 | |||
| City | DUMFRIES |
| Zip Code | 22025 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | DUMFRIES + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Jerrold 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.