Craig M Black (NPI# 1912083916, PAC ID# 3476506619) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1912083916 |
| PAC ID by PECOS | 3476506619 |
| Professional Enrollment ID | I20151118000188 |
| Full Name | Craig M Black |
| Organization Legal Name | WASHOE TRIBE OF NEVADA AND CALIFORNIA |
| Address |
1559 Watasheamu Rd Washoe Tribal Health Center Gardnerville NV 89460-7455 |
| Phone Number | 7752654215 |
| Gender | M |
| Medical School | LIFE CHIROPRACTIC COLLEGE - WEST |
| Graduation Year | 2004 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 8527971662 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1559 Watasheamu Rd, Washoe Tribal Health Center, Gardnerville, NV 89460-7455 | 7752654215 | WASHOE TRIBE OF NEVADA AND CALIFORNIA |
| Organization Legal Name | WASHOE TRIBE OF NEVADA AND CALIFORNIA |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Ramirez | General Practice | Washoe Tribe of Nevada and California | 1559 Watasheamu Rd, Washoe Tribal Health Center, Gardnerville, NV 89460-7455 |
| Nicole A Tradup | Optometry | Washoe Tribe of Nevada and California | 1559 Watasheamu Rd, Washoe Tribal Health Center, Gardnerville, NV 89460-7455 |
| Chinelo Pearl Nwaogbo | Nurse Practitioner | Washoe Tribe of Nevada and California | 1559 Watasheamu Rd, Washoe Tribal Health Center, Gardnerville, NV 89460-7455 |
| Bela Bert Toth | Family Medicine | Washoe Tribe of Nevada and California | 1559 Watasheamu Rd, Washoe Tribal Health Center, Gardnerville, NV 89460-7455 |
| Susan Lynn Cruz | Nurse Practitioner | Washoe Tribe of Nevada and California | 1559 Watasheamu Rd, Washoe Tribal Health Center, Gardnerville, NV 89460-7455 |
| Quinton Thomas | Family Medicine | Washoe Tribe of Nevada and California | 1559 Watasheamu Rd, Washoe Tribal Health Center, Gardnerville, NV 89460-7455 |
| James V Kiernan | Clinical Social Worker | Washoe Tribe of Nevada and California | 1559 Watasheamu Rd, Washoe Tribal Health Center, Gardnerville, NV 89460-7455 |
| Mariah Lynn Jeremiah | Clinical Social Worker | Washoe Tribe of Nevada and California | 1559 Watasheamu Rd, Washoe Tribal Health Center, Gardnerville, NV 89460-7455 |
| Lauren Leavitt | Registered Dietitian Or Nutrition Professional | Washoe Tribe of Nevada and California | 1559 Watasheamu Rd, Washoe Tribal Health Center, Gardnerville, NV 89460-7455 |
| Robert E Shubinski | Psychiatry | Washoe Tribe of Nevada and California | 1559 Watasheamu Rd, Gardnerville, NV 89460-7455 |
| Street Address |
1559 WATASHEAMU RD WASHOE TRIBAL HEALTH CENTER |
| City | GARDNERVILLE |
| State | NV |
| Zip | 89460-7455 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Ramirez | General Practice | Washoe Tribe of Nevada and California | 1559 Watasheamu Rd, Washoe Tribal Health Center, Gardnerville, NV 89460-7455 |
| Nicole A Tradup | Optometry | Washoe Tribe of Nevada and California | 1559 Watasheamu Rd, Washoe Tribal Health Center, Gardnerville, NV 89460-7455 |
| Chinelo Pearl Nwaogbo | Nurse Practitioner | Washoe Tribe of Nevada and California | 1559 Watasheamu Rd, Washoe Tribal Health Center, Gardnerville, NV 89460-7455 |
| Bela Bert Toth | Family Medicine | Washoe Tribe of Nevada and California | 1559 Watasheamu Rd, Washoe Tribal Health Center, Gardnerville, NV 89460-7455 |
| Susan Lynn Cruz | Nurse Practitioner | Washoe Tribe of Nevada and California | 1559 Watasheamu Rd, Washoe Tribal Health Center, Gardnerville, NV 89460-7455 |
| Quinton Thomas | Family Medicine | Washoe Tribe of Nevada and California | 1559 Watasheamu Rd, Washoe Tribal Health Center, Gardnerville, NV 89460-7455 |
| James V Kiernan | Clinical Social Worker | Washoe Tribe of Nevada and California | 1559 Watasheamu Rd, Washoe Tribal Health Center, Gardnerville, NV 89460-7455 |
| Mariah Lynn Jeremiah | Clinical Social Worker | Washoe Tribe of Nevada and California | 1559 Watasheamu Rd, Washoe Tribal Health Center, Gardnerville, NV 89460-7455 |
| Lauren Leavitt | Registered Dietitian Or Nutrition Professional | Washoe Tribe of Nevada and California | 1559 Watasheamu Rd, Washoe Tribal Health Center, Gardnerville, NV 89460-7455 |
| Robert E Shubinski | Psychiatry | Washoe Tribe of Nevada and California | 1559 Watasheamu Rd, Gardnerville, NV 89460-7455 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gordon V Holahan Jr. | General Surgery | Washoe Tribe of Nevada and California | 1559 Watasheamu Rd, Gardnerville, NV 89460-7455 |
| Kameren Joy Owens | Nurse Practitioner | Washoe Tribe of Nevada and California | 1559 Watasheamu Rd, Gardnerville, NV 89460-7455 |
| Patricia A Clees | Audiologist | Washoe Tribe of Nevada and California | 1559 Watasheamu Rd, Washoe Tribal Health Center, Gardnerville, NV 89460-7455 |
| Melia Formento | Nurse Practitioner | Washoe Tribe of Nevada and California | 1559 Watasheamu Rd, Gardnerville, NV 89460-7455 |
| City | GARDNERVILLE |
| Zip Code | 89460 |
| Specialty | CHIROPRACTIC |
| City + Specialty | GARDNERVILLE + CHIROPRACTIC |
Please comment or provide details below to improve the information on Craig 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.