Mitchell C Black (NPI# 1104083021, PAC ID# 8022149921) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is HOSPITALIST.
| Nation Provider ID (NPI) | 1104083021 |
| PAC ID by PECOS | 8022149921 |
| Professional Enrollment ID | I20100621000654 |
| Full Name | Mitchell C Black |
| Organization Legal Name | DUKE UNIVERSITY HEALTH SYSTEM, INC. |
| Address |
3643 N Roxboro Rd Durham NC 27704-2702 |
| Phone Number | 9194708490 |
| Gender | M |
| Medical School | EAST CAROLINA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2007 |
| Primary Specialty | HOSPITALIST |
| Secondary Specialties | INTERNAL MEDICINE |
| Group Practice PAC ID | 2567372345 |
| Number of Group Practice Members | 494 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340030 | DUKE UNIVERSITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 3643 N Roxboro Rd, Durham, NC 27704-2702 | 9194708490 | DUKE UNIVERSITY HEALTH SYSTEM, INC. |
| 3643 N Roxboro St, Durham, NC 27704-2702 | 9194705356 | DUKE UNIVERSITY HEALTH SYSTEM, INC. |
| Organization Legal Name | DUKE UNIVERSITY HEALTH SYSTEM, INC. |
| Physicians | 457 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shannon Brooke Icenhour | Physical Therapy | Duke University Health System, Inc. | 3116 N Duke St, Durham, NC 27704-2102 |
| Brittany M Albert | Occupational Therapy | Duke University Health System, Inc. | 401 Irving Pkwy, Holly Springs, NC 27540-9142 |
| Zachary S Tally | Physical Therapy | Duke University Health System, Inc. | 501 Douglas St, Durham, NC 27705-3888 |
| Sonya Vipul Patel Nguyen | Internal Medicine | Duke University Health System, Inc. | 3643 N Roxboro Rd, Durham, NC 27704-2702 |
| Ashley M Gaudino | Occupational Therapy | Duke University Health System, Inc. | 162 Legacy Oaks Dr, Knightdale, NC 27545-6556 |
| Eliseu Y Chuang | Hospitalist | Duke University Health System, Inc. | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 |
| Samantha D Schweitzer | Nurse Practitioner | Duke University Health System, Inc. | 3000 Rogers Rd, Suite 320, Wake Forest, NC 27587-3800 |
| Megan M Foureman | Certified Registered Nurse Anesthetist (crna) | Duke University Health System, Inc. | 2301 Erwin Rd, Durham, NC 27705-4699 |
| Kathleen J Murray | Clinical Social Worker | Duke University Health System, Inc. | Erwin Rd, Durham, NC 27710-0001 |
| Thomas P Knipper | Certified Registered Nurse Anesthetist (crna) | Duke University Health System, Inc. | 2301 Erwin Rd, Durham, NC 27705-4699 |
| Street Address |
3643 N ROXBORO RD |
| City | DURHAM |
| State | NC |
| Zip | 27704-2702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Sonya Vipul Patel Nguyen | Internal Medicine | Duke University Health System, Inc. | 3643 N Roxboro Rd, Durham, NC 27704-2702 |
| Lydia D Luangruangrong | Emergency Medicine | Duke University Health System, Inc. | 3643 N Roxboro Rd, Durham, NC 27704-2702 |
| Joshua Ward | Family Medicine | Duke University Health System, Inc. | 3643 N Roxboro Rd, Durham, NC 27704-2702 |
| Elisabeth A Kidd | Physician Assistant | Duke University Health System, Inc. | 3643 N Roxboro Rd, Durham, NC 27704-2702 |
| John Sutter Curtiss | Internal Medicine | Duke University Health System, Inc. | 3643 N Roxboro Rd, Durham, NC 27704-2702 |
| Kirk J Williams | Physician Assistant | Duke University Health System, Inc. | 3643 N Roxboro Rd, Durham, NC 27704-2702 |
| Ashley G Merritt | Diagnostic Radiology | Durham Radiology Associates, Inc. | 3643 N Roxboro Rd, Durham, NC 27704-2702 |
| Rachel H Hughes | Hospitalist | Duke University Health System, Inc. | 3643 N Roxboro Rd, Durham, NC 27704-2702 |
| Kristy T Duggan | Internal Medicine | Duke University Health System, Inc. | 3643 N Roxboro Rd, Durham, NC 27704-2702 |
| Amir A Firozvi | Internal Medicine | Select Specialty Hospital - Durham, Inc. | 3643 N Roxboro Rd, Durham, NC 27704-2702 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Dale David Stewart | Optometry | Myeyedr Optometry of North Carolina Pllc | 3500 N Duke St, Suite 1, Durham, NC 27704-1707 |
| Keith R Hoffman | Optometry | Myeyedr Optometry of North Carolina Pllc | 3500 N Duke St, Suite 1, Durham, NC 27704-1707 |
| Rosemary Liao | Optometry | Myeyedr Optometry of North Carolina Pllc | 3500 N Duke St, Suite 1, Durham, NC 27704-1707 |
| Ashley W Brinn | Nurse Practitioner | Duke University Affiliated Physicians Inc | 4220 N Roxboro St, Durham, NC 27704-1826 |
| Brooke G Morgan | Physical Medicine and Rehabilitation | Post-acute Physicians of North Carolina Pllc | 4230 N Roxboro St, Durham, NC 27704-1826 |
| Mary E Blessing | Nurse Practitioner | Duke University Affiliated Physicians Inc | 4220 N Roxboro St, Durham, NC 27704-1826 |
| Firas Chazli | Internal Medicine | Duke University Affiliated Physicians Inc | 4220 N Roxboro St, Durham, NC 27704-1826 |
| Eric Poon | Internal Medicine | Duke University Affiliated Physicians Inc | 4220 N Roxboro St, Durham, NC 27704-1826 |
| Elizabeth O Aderoju | Internal Medicine | Duke University Affiliated Physicians Inc | 4220 N Roxboro St, Durham, NC 27704-1826 |
| Roberta V Turner | Hospice/palliative Care | Duke University Health System, Inc. | 4220 N Roxboro St, Durham, NC 27704-1826 |
| Find all physicians in zip 27704 | |||
| City | DURHAM |
| Zip Code | 27704 |
| Specialty | HOSPITALIST |
| City + Specialty | DURHAM + HOSPITALIST |
Please comment or provide details below to improve the information on Mitchell 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.