Clifford P Black Jr. (NPI# 1316903396, PAC ID# 8527012772) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL SURGERY.
| Nation Provider ID (NPI) | 1316903396 |
| PAC ID by PECOS | 8527012772 |
| Professional Enrollment ID | I20080915000521 |
| Full Name | Clifford P Black Jr. |
| Organization Legal Name | ANNISTON GENERAL SURGERY CENTER, P.C. |
| Address |
1901 Leighton Ave Anniston AL 36207-3270 |
| Phone Number | 2562409660 |
| Gender | M |
| Medical School | EMORY UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1983 |
| Primary Specialty | GENERAL SURGERY |
| Secondary Specialties | VASCULAR SURGERY |
| Group Practice PAC ID | 7214981455 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 010038 | STRINGFELLOW MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1901 Leighton Ave, Anniston, AL 36207-3270 | 2562409660 | ANNISTON GENERAL SURGERY CENTER, P.C. |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | ANNISTON GENERAL SURGERY CENTER, P.C. |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lei Liu | General Surgery | Anniston General Surgery Center, P.C. | 1901 Leighton Ave, Anniston, AL 36207-3270 |
| Lauren M Waltz | Physician Assistant | Anniston General Surgery Center, P.C. | 1901 Leighton Ave, Anniston, AL 36207-3270 |
| Street Address |
1901 LEIGHTON AVE |
| City | ANNISTON |
| State | AL |
| Zip | 36207-3270 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lei Liu | General Surgery | Anniston General Surgery Center, P.C. | 1901 Leighton Ave, Anniston, AL 36207-3270 |
| Lauren M Waltz | Physician Assistant | Anniston General Surgery Center, P.C. | 1901 Leighton Ave, Anniston, AL 36207-3270 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christopher Hardin Law | Chiropractic | 1401 Hillyer Robinson Pkwy, Anniston, AL 36207 | |
| Coy A Bolton | Chiropractic | 1401 Hillyer Robinson Pkwy A, Anniston, AL 36207 | |
| Brandi Nicole Meads | Nurse Practitioner | Sanatio Health Inc | 2111 Hwy 78 E, Suite 3, Anniston, AL 36207-2067 |
| Judith Thompson | Clinical Social Worker | 2700 Brighton Ave, Anniston, AL 36207-2974 | |
| Keith A Barrett | General Surgery | Regional Health Management Corporation | 1900 Leighton Ave, Suite 201, Anniston, AL 36207-3206 |
| Warren L Wallace | General Practice | 1900 Christine Ave, Anniston, AL 36207-3263 | |
| Pankaj K Kashyap | Gastroenterology | 1720 Leighton Ave, Anniston, AL 36207-3811 | |
| Mohammad Kamran | Cardiovascular Disease (cardiology) | 1700 Christine Ave, Suite 100, Anniston, AL 36207-3813 | |
| Vishwanath Mukkamalla Reddy | Internal Medicine | 1400 Leighton Ave, Anniston, AL 36207-3827 | |
| Lucile Bodenheimer | Psychologist, Clinical | 1523 Leighton Ave, Anniston, AL 36207-3828 | |
| Find all physicians in zip 36207 | |||
| City | ANNISTON |
| Zip Code | 36207 |
| Specialty | GENERAL SURGERY |
| City + Specialty | ANNISTON + GENERAL SURGERY |
Please comment or provide details below to improve the information on Clifford P Black Jr..
| 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.