Gladys E Black (NPI# 1205011715, PAC ID# 3577649474) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NURSE PRACTITIONER.
| Nation Provider ID (NPI) | 1205011715 |
| PAC ID by PECOS | 3577649474 |
| Professional Enrollment ID | I20080318000341 |
| Full Name | Gladys E Black |
| Organization Legal Name | MARION GENERAL HOSPITAL |
| Address |
4781 Kaybee Dr Gas City IN 46933-6607 |
| Phone Number | 7656607840 |
| Gender | F |
| Graduation Year | 2007 |
| Primary Specialty | NURSE PRACTITIONER |
| Group Practice PAC ID | 9133023625 |
| Number of Group Practice Members | 100 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150011 | MARION GENERAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 4781 Kaybee Dr, Gas City, IN 46933-6607 | 7656607840 | MARION GENERAL HOSPITAL |
| 441 N Wabash Ave, Mgh Emergency Physicians, Marion, IN 46952-2612 | 7656607616 | MARION GENERAL HOSPITAL |
| Organization Legal Name | MARION GENERAL HOSPITAL |
| Physicians | 90 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mary Efua Otoo | General Surgery | Marion General Hospital | 330 N Wabash, 370 Phys Billing of Mgh, Marion, IN 46952-2678 |
| Kyle R Speakman | Family Medicine | Marion General Hospital | 1391 N Baldwin Ave, Phys Billing of Mgh, Marion, IN 46952-1913 |
| Colt A Cansler | Physician Assistant | Marion General Hospital | 4781 Kaybee Dr, Gas City, IN 46933-6607 |
| Lisa M Wallace | Nurse Practitioner | Marion General Hospital | 831 N Theatre Dr, Phys Billing of Mgh, Marion, IN 46952-1701 |
| Marcie L Baird | Nurse Practitioner | Marion General Hospital | 1809 S Main St, Phys Billing of Mgh, Upland, IN 46989-9242 |
| Emil A Balasandiran | Family Medicine | Marion General Hospital | 1406 W Bella Dr, Phys Billing of Mgh, Marion, IN 46952-5229 |
| Adrienne M Howard | Nurse Practitioner | Marion General Hospital | 2651 S 800, Swayzee, IN 46986-1400 |
| Ruth E Swanson Bainbridge | Emergency Medicine | Marion General Hospital | 441 N Wabash Ave, Mgh Emergency Physicians, Marion, IN 46952-2612 |
| Kristine Agnes Knapp | Obstetrics/gynecology | Marion General Hospital | 1419 W Bella Dr, Phys Billing of Mgh, Marion, IN 46953-5250 |
| Carole E Wilson | Nurse Practitioner | Marion General Hospital | 1130 N Baldwin Ave, Phys Billing of Mgh, Marion, IN 46952-2536 |
| Street Address |
4781 KAYBEE DR |
| City | GAS CITY |
| State | IN |
| Zip | 46933-6607 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Colt A Cansler | Physician Assistant | Marion General Hospital | 4781 Kaybee Dr, Gas City, IN 46933-6607 |
| Martin Pruss | Family Medicine | Marion General Hospital | 4781 Kaybee Dr, Gas City, IN 46933-6607 |
| Mark Allen Westfall | Family Medicine | Marion General Hospital | 4781 Kaybee Dr, Gas City, IN 46933-6607 |
| Seshadri Jagannathan | Internal Medicine | Marion General Hospital | 4781 Kaybee Dr, Gas City, IN 46933-6607 |
| Kellie R Planck | Nurse Practitioner | Marion General Hospital | 4781 Kaybee Dr, Gas City, IN 46933-6607 |
| Nikolina Wiler | Physician Assistant | Marion General Hospital | 4781 Kaybee Dr, Gas City, IN 46933-6607 |
| Michael A Gunter | General Surgery | Marion General Hospital | 4781 Kaybee Dr, Gas City, IN 46933-6607 |
| Jeffrey W Miller | General Surgery | Marion General Hospital | 4781 Kaybee Dr, Gas City, IN 46933-6607 |
| Lisa A Decker | Nurse Practitioner | Marion General Hospital | 4781 Kaybee Dr, Gas City, IN 46933-6607 |
| Shankaran Srikanth | Internal Medicine | Marion General Hospital | 4781 Kaybee Dr, Gas City, IN 46933-6607 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jeremy William Mckee | Chiropractic | 420 W Main St, Gas City, IN 46933-1075 | |
| Jon Kevin Blake | General Practice | 925 E Main St, Jon K Blake Md, Gas City, IN 46933-1550 | |
| James B Wright | Optometry | 125 S 7th St, Gas City, IN 46933-2061 | |
| Michelle L Hart | Nurse Practitioner | Marion General Hospital | 4781 Kaybee Dr, Gas City, IN 46933-6607 |
| Riley D Rose | Nurse Practitioner | Marion General Hospital | 4781 Kaybee Dr, Gas City, IN 46933-6607 |
| Michelle A Jones | Nurse Practitioner | Marion General Hospital | 4781 Kaybee Dr, Gas City, IN 46933-6607 |
| James M Orrell | Family Medicine | Marion General Hospital | 4781 Kaybee Dr, Gas City, IN 46933-6607 |
| Kristan L Higginbotham | Nurse Practitioner | Marion General Hospital | 4781 Kaybee Dr, Gas City, IN 46933-6607 |
| Carolyn J Lane | Nurse Practitioner | Marion General Hospital | 4781 Kaybee Dr, Gas City, IN 46933-6607 |
| Jeremy R Wilson | General Surgery | Marion General Hospital | 4781 Kaybee Dr, Gas City, IN 46933-6607 |
| Find all physicians in zip 46933 | |||
| City | GAS CITY |
| Zip Code | 46933 |
| Specialty | NURSE PRACTITIONER |
| City + Specialty | GAS CITY + NURSE PRACTITIONER |
Please comment or provide details below to improve the information on Gladys E 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.