Candice C Black (NPI# 1528093887, PAC ID# 6305913682) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1528093887 |
| PAC ID by PECOS | 6305913682 |
| Professional Enrollment ID | I20080929000485 |
| Full Name | Candice C Black |
| Organization Legal Name | DARTMOUTH-HITCHCOCK CLINIC |
| Address |
1 Medical Ctr Dr Lebanon NH 03756-1000 |
| Phone Number | 6036505000 |
| Gender | F |
| Graduation Year | 1996 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 4183537509 |
| Number of Group Practice Members | 1198 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 300003 | MARY HITCHCOCK MEMORIAL HOSPITAL |
| 301310 | ANDROSCOGGIN VALLEY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1 Medical Ctr Dr, Lebanon, NH 03756-1000 | 6036505000 | DARTMOUTH-HITCHCOCK CLINIC |
| Organization Legal Name | DARTMOUTH-HITCHCOCK CLINIC |
| Physicians | 1178 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie M Winn | Nurse Practitioner | Dartmouth-hitchcock Clinic | 100 Hitchcock Way, Manchester, NH 03104-4125 |
| Anas Hannoun | Neurology | Dartmouth-hitchcock Clinic | 87 Mcgregor St, Manchester, NH 03102-3765 |
| Dillon H Young | Nurse Practitioner | Dartmouth-hitchcock Clinic | 117 Railroad St, Keene, NH 03431-3747 |
| Leah E Abrahamsen | Clinical Social Worker | Dartmouth-hitchcock Clinic | 85 Mechanic St, Suite 3b 1, Lebanon, NH 03766-1537 |
| Diane M Price | Nurse Practitioner | Dartmouth-hitchcock Clinic | 456 Woodstock Rd, C/o Woodstock Terrace, Woodstock, VT 05091-9759 |
| Joanne B Hayes | Nurse Practitioner | Dartmouth-hitchcock Clinic | 80 Lyme Rd, Hanover, NH 03755-1225 |
| Derek T Jurus | Obstetrics/gynecology | Dartmouth-hitchcock Clinic | 5 Washington Place, Bedford, NH 03110-6742 |
| Lauren J Welton | Physician Assistant | Dartmouth-hitchcock Clinic | 1 Elliot Way, Manchester, NH 03103-3502 |
| Latasha M Heape | Certified Registered Nurse Anesthetist (crna) | Dartmouth-hitchcock Clinic | 590 Court St, Keene, NH 03431-1719 |
| Elias E Loukas | Internal Medicine | Dartmouth-hitchcock Clinic | 1 Medical Ctr Dr, Lebanon, NH 03756-1000 |
| Street Address |
1 MEDICAL CTR DR |
| City | LEBANON |
| State | NH |
| Zip | 03756-1000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elias E Loukas | Internal Medicine | Dartmouth-hitchcock Clinic | 1 Medical Ctr Dr, Lebanon, NH 03756-1000 |
| Kristin O Burdick | Family Medicine | Mary Hitchcock Memorial Hospital | 1 Medical Ctr Dr, Lebanon, NH 03756-1000 |
| Mary S Feldman | Neurology | Mary Hitchcock Memorial Hospital | 1 Medical Ctr Dr, Lebanon, NH 03756-1000 |
| Sarah S Seo | Otolaryngology | Dartmouth-hitchcock Clinic | 1 Medical Ctr Dr, Lebanon, NH 03756-1000 |
| Srinivas J Ivatury | Colorectal Surgery (proctology) | Dartmouth-hitchcock Clinic | 1 Medical Ctr Dr, Lebanon, NH 03756-1000 |
| Nicole L Dorinzi | Emergency Medicine | West Virginia University Medical Corporation | 1 Medical Ctr Dr, Morgantown, WV 26506-1200 |
| Meredith A Stringer | Nurse Practitioner | Dartmouth-hitchcock Clinic | 1 Medical Ctr Dr, Lebanon, NH 03756-1000 |
| James Mersing | Family Medicine | West Virginia University Medical Corporation | 1 Medical Ctr Dr, Morgantown, WV 26506-1200 |
| Nilofar Najafian | Hospitalist | Dartmouth-hitchcock Clinic | 1 Medical Ctr Dr, Lebanon, NH 03756-1000 |
| Christopher Wayne Milligan | Physician Assistant | West Virginia University Medical Corporation | 1 Medical Ctr Dr, Morgantown, WV 26506-1200 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ellen M Senna Martin | Certified Nurse Midwife | Mary Hitchcock Memorial Hospital | One Medical Ctr Dr, Lebanon, NH 03756-0001 |
| Maryellen F Copening | Physician Assistant | Mary Hitchcock Memorial Hospital | One Medical Ctr Dr, Lebanon, NH 03756-0001 |
| Margaret F Guill | Pulmonary Disease | Mary Hitchcock Memorial Hospital | One Medical Ctr Dr, Lebanon, NH 03756-0001 |
| Dionna C Rookey | Physician Assistant | Mary Hitchcock Memorial Hospital | One Medical Ctr Dr, Lebanon, NH 03756-0001 |
| Reto M Baertschiger | General Surgery | Mary Hitchcock Memorial Hospital | One Medical Ctr Dr, Lebanon, NH 03756-0001 |
| Jan B Wollack | Neurology | Mary Hitchcock Memorial Hospital | One Medical Ctr Dr, Lebanon, NH 03756-0001 |
| Miriam N Cordell | Certified Nurse Midwife | Mary Hitchcock Memorial Hospital | One Medical Ctr Dr, Lebanon, NH 03756-0001 |
| Kenneth W Rudd | Emergency Medicine | Mary Hitchcock Memorial Hospital | One Medical Ctr Dr, Lebanon, NH 03756-0001 |
| Daniel P Croitoru | Pediatric Medicine | Mary Hitchcock Memorial Hospital | One Medical Ctr Dr, Lebanon, NH 03756-0001 |
| Gretchen G Neligan | Nurse Practitioner | Mary Hitchcock Memorial Hospital | One Medical Ctr Dr, Lebanon, NH 03756-0001 |
| Find all physicians in zip 03756 | |||
| City | LEBANON |
| Zip Code | 03756 |
| Specialty | PATHOLOGY |
| City + Specialty | LEBANON + PATHOLOGY |
Please comment or provide details below to improve the information on Candice C 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.