Roger L Black (NPI# 1477518157, PAC ID# 6507996618) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HEMATOLOGY.
| Nation Provider ID (NPI) | 1477518157 |
| PAC ID by PECOS | 6507996618 |
| Professional Enrollment ID | I20100827000956 |
| Full Name | Roger L Black |
| Organization Legal Name | GENESEE HEMATOLOGY-ONCOLOGY, P.C. |
| Address |
302 Kensington Ave B Flint MI 48503-2044 |
| Phone Number | 8107628200 |
| Gender | M |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1972 |
| Primary Specialty | HEMATOLOGY |
| Secondary Specialties | MEDICAL ONCOLOGY |
| Group Practice PAC ID | 1153451265 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230197 | GENESYS REGIONAL MEDICAL CENTER - HEALTH PARK |
| 230132 | HURLEY MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 302 Kensington Ave B, Flint, MI 48503-2044 | 8107628200 | GENESEE HEMATOLOGY-ONCOLOGY, P.C. |
| 944 Baldwin Rd, Lapeer, MI 48446-3089 | 8107628200 | GENESEE HEMATOLOGY-ONCOLOGY, P.C. |
| Organization Legal Name | GENESEE HEMATOLOGY-ONCOLOGY, P.C. |
| Physicians | 6 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Khalil Katato | Hematology/oncology | Genesee Hematology-oncology, P.C. | 944 Baldwin Rd, Lapeer, MI 48446-3089 |
| Jessica Ann Kreitzberg | Hematology/oncology | Genesee Hematology-oncology, P.C. | 944 Baldwin Rd, Lapeer, MI 48446-3089 |
| Paul T Adams | Hematology/oncology | Genesee Hematology-oncology, P.C. | 944 Baldwin Rd, Lapeer, MI 48446-3089 |
| Christopher S Szyarto | Hematology/oncology | Genesee Hematology-oncology, P.C. | 944 Baldwin Rd, Lapeer, MI 48446-3089 |
| Sirisha Manyam | Hematology/oncology | Genesee Hematology-oncology, P.C. | 302 Kensington Ave, Suite B, Flint, MI 48503-2044 |
| Street Address |
302 KENSINGTON AVE B |
| City | FLINT |
| State | MI |
| Zip | 48503-2044 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Norman W Jasmund | Clinical Social Worker | Catholic Charities of Shiawassee and Genesee Counties | 901 Chippewa St, Flint, MI 48503-1552 |
| Mershell A Flinnon | Clinical Social Worker | Catholic Charities of Shiawassee and Genesee Counties | 901 Chippewa St, Flint, MI 48503-1552 |
| Bradley R Dixon | Clinical Social Worker | Catholic Charities of Shiawassee and Genesee Counties | 901 Chippewa St, Flint, MI 48503-1552 |
| Emily Breeden | Clinical Social Worker | Catholic Charities of Shiawassee and Genesee Counties | 901 Chippewa St, Flint, MI 48503-1552 |
| Mary V Tate | Clinical Social Worker | Catholic Charities of Shiawassee and Genesee Counties | 901 Chippewa St, Flint, MI 48503-1552 |
| Michael J Kraemer | Clinical Social Worker | Catholic Charities of Shiawassee and Genesee Counties | 901 Chippewa St, Flint, MI 48503-1552 |
| Tamera Lee Burgess | Clinical Social Worker | Catholic Charities of Shiawassee and Genesee Counties | 901 Chippewa St, Flint, MI 48503-1552 |
| Betty L Rathfon | Clinical Social Worker | Catholic Charities of Shiawassee and Genesee Counties | 901 Chippewa St, Flint, MI 48503-1552 |
| Jan M Gee | Clinical Social Worker | Catholic Charities of Shiawassee and Genesee Counties | 901 Chippewa St, Flint, MI 48503-1552 |
| Edward N Irizarry | Clinical Social Worker | Catholic Charities of Shiawassee and Genesee Counties | 901 Chippewa St, Flint, MI 48503-1552 |
| Find all physicians in zip 48503 | |||
| City | FLINT |
| Zip Code | 48503 |
| Specialty | HEMATOLOGY |
| City + Specialty | FLINT + HEMATOLOGY |
Please comment or provide details below to improve the information on Roger L 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.