John Laning Black (NPI# 1255389136, PAC ID# 4183652456) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1255389136 |
| PAC ID by PECOS | 4183652456 |
| Professional Enrollment ID | I20050728000308 |
| Full Name | John Laning Black |
| Address |
1125 S Woodland Hills Dr Woodland Hills UT 84653-5582 |
| Phone Number | 8014910809 |
| Gender | M |
| Credential | DPM |
| Medical School | CALIFORNIA COLLEGE PODIATRIC MEDICINE |
| Graduation Year | 2003 |
| Primary Specialty | PODIATRY |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1125 S Woodland Hills Dr, Woodland Hills, UT 84653-5582 | 8014910809 |
| Street Address |
1125 S WOODLAND HILLS DR |
| City | WOODLAND HILLS |
| State | UT |
| Zip | 84653-5582 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Gale J Skousen | Family Medicine | Central Utah Clinic P C | 555 W Sr, Suite 164, Salem, UT 84653 |
| Jasmine Burson Jenkins | Nurse Practitioner | Central Utah Clinic P C | 555 W Sr, Suite 164, Salem, UT 84653 |
| Brian A Clements | Internal Medicine | Central Utah Clinic P C | 555 W Sr, Suite 164, Salem, UT 84653 |
| Alan B Erdmann | Gastroenterology | Central Utah Clinic P C | 555 W Sr, Suite 164, Salem, UT 84653 |
| David J Tipton | Family Medicine | Central Utah Clinic P C | 555 W Sr, Suite 164, Salem, UT 84653 |
| Ryan Paul Thurston | Nurse Practitioner | Central Utah Clinic P C | 555 W Sr, Suite 164, Salem, UT 84653 |
| Seth James Coynor | Pediatric Medicine | Central Utah Clinic P C | 555 W Sr, Suite 164, Salem, UT 84653 |
| Douglas Robert Clark | Optometry | 446 N State Rd, Suite 198, Salem, UT 84653-4605 | |
| Chad A Parrish | Physician Assistant | Hillside Medical Clinic LLC | 118 N Main St B, Salem, UT 84653-5698 |
| Frank J Archer | Family Medicine | 118 N Main St, Suite B, Salem, UT 84653-5698 | |
| Find all physicians in zip 84653 | |||
| City | WOODLAND HILLS |
| Zip Code | 84653 |
| Specialty | PODIATRY |
| City + Specialty | WOODLAND HILLS + PODIATRY |
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| 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.