Janis Black (NPI# 1699721548, PAC ID# 7618973835) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1699721548 |
| PAC ID by PECOS | 7618973835 |
| Professional Enrollment ID | I20061011000647 |
| Full Name | Janis Black |
| Address |
3740 Curtis Blvd Suite 108 Cocoa FL 32927-3962 |
| Gender | F |
| Credential | MD |
| Medical School | LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1999 |
| Primary Specialty | FAMILY MEDICINE |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100028 | PARRISH MEDICAL CENTER |
| 100092 | WUESTHOFF MEDICAL CENTER ROCKLEDGE |
| Address | Phone | Organization |
|---|---|---|
| 3740 Curtis Blvd, Suite 108, Cocoa, FL 32927-3962 |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 100% | |
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% |
| Street Address |
3740 CURTIS BLVD SUITE 108 |
| City | COCOA |
| State | FL |
| Zip | 32927-3962 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judy A Mayor Davies | Emergency Medicine | Omni Healthcare Pa | 2501 W New Haven Blvd, Melbourne, FL 32927-3747 |
| John G Olinde | General Surgery | Omni Healthcare Pa | 2501 W New Haven Blvd, Melbourne, FL 32927-3747 |
| Erin T Mariano | Orthopedic Surgery | Omni Healthcare Pa | 2501 W New Haven Blvd, Melbourne, FL 32927-3747 |
| Susan Marie Glatter | Nurse Practitioner | Omni Healthcare Pa | 2501 W New Haven Blvd, Melbourne, FL 32927-3747 |
| Elaine M Kondroski | Diagnostic Radiology | Omni Healthcare Pa | 2501 W New Haven Blvd, Melbourne, FL 32927-3747 |
| Kevin L Goodhue | Optometry | 3720 Curtis Blvd, Port St John, FL 32927-3961 | |
| Rachel M Loeffler | Nurse Practitioner | North Brevard Medical Support Inc | 5005 Port St John Pkwy, Suite 2400, Port St John, FL 32927-4305 |
| Richard M Bost | Emergency Medicine | Medfast Urgent Care Centers LLC | 5005 Port St John Pkwy, Port St John, FL 32927-4305 |
| Sharon S Shelton | Family Medicine | North Brevard Medical Support Inc | 5005 Port St John Pkwy, Suite 2500, Port St John, FL 32927-4305 |
| Arlene H Radcliff | Nurse Practitioner | North Brevard Medical Support Inc | 5005 Port St John Pkwy, Suite 2600, Port St John, FL 32927-4305 |
| Find all physicians in zip 32927 | |||
| City | COCOA |
| Zip Code | 32927 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | COCOA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Janis 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.