Andrew P Black (NPI# 1548408669, PAC ID# 4486823275) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1548408669 |
| PAC ID by PECOS | 4486823275 |
| Professional Enrollment ID | I20110811000880 |
| Full Name | Andrew P Black |
| Organization Legal Name | SAINT ALPHONSUS MEDICAL CENTER ONTARIO INC. |
| Address |
351 Sw 9th St Ontario OR 97914-2639 |
| Phone Number | 5418817000 |
| Gender | M |
| Graduation Year | 2008 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 1456488899 |
| Number of Group Practice Members | 23 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 380052 | SAINT ALPHONSUS MEDICAL CENTER - ONTARIO, INC |
| Address | Phone | Organization |
|---|---|---|
| 910 Nw 16th St, Fruitland, ID 83619-2265 | SAINT ALPHONSUS MEDICAL CENTER ONTARIO INC. | |
| 1050 Sw 3rd Ave, Suite 1600, Ontario, OR 97914-4552 | 5418812360 | SAINT ALPHONSUS MEDICAL CENTER ONTARIO INC. |
| 1219 Sw 4th Ave, Unit 2, Ontario, OR 97914-4500 | 5418812800 | SAINT ALPHONSUS MEDICAL CENTER ONTARIO INC. |
| 351 Sw 9th St, Ontario, OR 97914-2639 | 5418817000 | SAINT ALPHONSUS MEDICAL CENTER ONTARIO INC. |
| Organization Legal Name | SAINT ALPHONSUS MEDICAL CENTER ONTARIO INC. |
| Physicians | 24 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Katlin N Burchard | Nurse Practitioner | Saint Alphonsus Medical Center Ontario Inc. | 910 Nw 16th St, Fruitland, ID 83619-2265 |
| Josh Leavitt | Family Practice | Saint Alphonsus Medical Center Ontario Inc. | 840 Sw 4th Ave, Ontario, OR 97914-2627 |
| Donna F Messersmith | Nurse Practitioner | Saint Alphonsus Medical Center Ontario Inc. | 1219 Sw 4th Ave, Unit 2, Ontario, OR 97914-4500 |
| Kim A Wilson | Physician Assistant | Saint Alphonsus Medical Center Ontario Inc. | 910 Nw 16th St, Fruitland, ID 83619-2265 |
| Richard T. Davis | Orthopedic Surgery | Saint Alphonsus Medical Center Ontario Inc. | 351 Sw 9th St, Ontario, OR 97914-2639 |
| John Foote | Orthopedic Surgery | Saint Alphonsus Medical Center Ontario Inc. | 351 Sw 9th St, Ontario, OR 97914-2639 |
| Crysta J Kimes | Physician Assistant | Saint Alphonsus Medical Center Ontario Inc. | 910 Nw 16th St, Fruitland, ID 83619-2265 |
| Samantha A Paterson | Physician Assistant | Saint Alphonsus Medical Center Ontario Inc. | 910 Nw 16th St, Fruitland, ID 83619-2265 |
| Roger T Wyatt | Family Medicine | Saint Alphonsus Medical Center Ontario Inc. | 910 Nw 16th St, Fruitland, ID 83619-2265 |
| Monica L Vernon | Physician Assistant | Saint Alphonsus Medical Center Ontario Inc. | 910 Nw 16th St, Fruitland, ID 83619-2265 |
| Street Address |
351 SW 9TH ST |
| City | ONTARIO |
| State | OR |
| Zip | 97914-2639 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Justin R Gibb | Certified Registered Nurse Anesthetist (crna) | Treasure Valley Anesthesia PC | 351 Sw 9th St, Ontario, OR 97914-2639 |
| Richard T. Davis | Orthopedic Surgery | Saint Alphonsus Medical Center Ontario Inc. | 351 Sw 9th St, Ontario, OR 97914-2639 |
| John Foote | Orthopedic Surgery | Saint Alphonsus Medical Center Ontario Inc. | 351 Sw 9th St, Ontario, OR 97914-2639 |
| Christopher Counsil | Nurse Practitioner | Apogee Medical Group PC | 351 Sw 9th St, Ontario, OR 97914-2639 |
| Russell J Watson | Certified Registered Nurse Anesthetist (crna) | Treasure Valley Anesthesia PC | 351 Sw 9th St, Ontario, OR 97914-2639 |
| Pamela P Bruce | General Surgery | Saint Alphonsus Medical Center Ontario Inc. | 351 Sw 9th St, Ontario, OR 97914-2639 |
| Steven C Reich | Otolaryngology | Saint Alphonsus Medical Center Ontario Inc. | 351 Sw 9th St, Ontario, OR 97914-2639 |
| Eric C Rysenga | Pathology | 351 Sw 9th St, Ontario, OR 97914-2639 | |
| Daniel Allan Bridger | Emergency Medicine | Cep America LLC | 351 Sw 9th St, Ontario, OR 97914-2639 |
| John Martin Gibson | Emergency Medicine | Cep America LLC | 351 Sw 9th St, Ontario, OR 97914-2639 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Oran Hardy | Physical Therapy | Treasure Valley Physical Therapy Inc | 2671 Sw 4th Ave, Ontario, OR 97914-1833 |
| Steven Blaine Anderson | Physical Therapy | Treasure Valley Physical Therapy Inc | 2671 Sw 4th Ave, Ontario, OR 97914-1833 |
| Daniel Walter Chudleigh | Physical Therapy | Treasure Valley Physical Therapy Inc | 2671 Sw 4th Ave, Ontario, OR 97914-1833 |
| Marguerite Overton | Certified Registered Nurse Anesthetist (crna) | Overton/stiff Professional Anesthesia Service Ltd | 251 Sw 19th St, Ontario, OR 97914-1972 |
| Jeffrey C Pitts | Ophthalmology | 269 Sw 19th St, Ontario, OR 97914-1972 | |
| Bradley Scott Dalling | Certified Registered Nurse Anesthetist (crna) | Treasure Valley Anesthesia PC | 251 Sw 19th St, Ontario, OR 97914-1972 |
| Sharon E Morrison-doke | Qualified Speech Language Pathologist | 964 W Idaho Ave, Ontario, OR 97914-2111 | |
| Paul C Gering Jr. | Family Medicine | 1077 Sw 3rd Ave, Ontario, OR 97914-2125 | |
| Debra J Alexander | Nurse Practitioner | 1008 Sw 4th Ave, Ontario, OR 97914-2128 | |
| Roger W Allen | Chiropractic | 1193 Sw 4th Ave, Ontario, OR 97914-2129 | |
| Find all physicians in zip 97914 | |||
| City | ONTARIO |
| Zip Code | 97914 |
| Specialty | PODIATRY |
| City + Specialty | ONTARIO + PODIATRY |
Please comment or provide details below to improve the information on Andrew P 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.