Robert J Black (NPI# 1003828534, PAC ID# 9739277211) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPTOMETRY.
| Nation Provider ID (NPI) | 1003828534 |
| PAC ID by PECOS | 9739277211 |
| Professional Enrollment ID | I20071116000257 |
| Full Name | Robert J Black |
| Organization Legal Name | UNIVERSITY MEDICAL ASSOCIATES |
| Address |
171 Ashley Ave Charleston SC 29425-8908 |
| Phone Number | 8437921414 |
| Gender | M |
| Medical School | UNIVERSITY ALABAMA BIRMINGHAM - SCHOOL OF OPTOMETRY |
| Graduation Year | 1979 |
| Primary Specialty | OPTOMETRY |
| Group Practice PAC ID | 6305758574 |
| Number of Group Practice Members | 1000 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 420004 | MUSC MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 171 Ashley Ave, Charleston, SC 29425-8908 | 8437921414 | UNIVERSITY MEDICAL ASSOCIATES |
| Organization Legal Name | UNIVERSITY MEDICAL ASSOCIATES |
| Physicians | 1136 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Elizabeth Margaret Poindexter | Physician Assistant | University Medical Associates | 167 Ashley Ave, Charleston, SC 29425-8908 |
| Richard W Rissmiller Jr. | Pulmonary Disease | University Medical Associates | 1280 Johnnie Dodds Blvd, Mt Pleasant, SC 29464-3221 |
| Rahul G Argula | Pulmonary Disease | University Medical Associates | 2810 Ashley Phosphate Rd, Suite B 11, Charleston, SC 29425-0001 |
| David E Soper | Obstetrics/gynecology | University Medical Associates | 8471 Resolute Way, Suite 105, North Charleston, SC 29420-7390 |
| Michael Lawrence Craig | Advanced Heart Failure and Transplant Cardiology | University Medical Associates | 2075 Charlie Hall Blvd, B, Charleston, SC 29414-5834 |
| Richard H Jones | Diagnostic Radiology | University Medical Associates | 171 Ashley Ave, Charleston, SC 29425-8908 |
| Shruti Puri | Infectious Disease | University Medical Associates | 171 Ashley Ave, Charleston, SC 29425-8508 |
| Lindsey J Hendrickson | Nurse Practitioner | University Medical Associates | 171 Ashley Ave, Charleston, SC 29425-8908 |
| Bernard Velardo | Anesthesiology | University Medical Associates | 171 Ashley Ave, Charleston, SC 29425-8908 |
| Amit Agrawal | Gastroenterology | University Medical Associates | 171 Ashley Ave, Charleston, SC 29425-8908 |
| Street Address |
171 ASHLEY AVE |
| City | CHARLESTON |
| State | SC |
| Zip | 29425-8908 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michele M Ballister | Certified Registered Nurse Anesthetist (crna) | Medical University Hospital Authority | 171 Ashley Ave, Charleston, SC 29425-8908 |
| Christopher A Hensley | Certified Registered Nurse Anesthetist (crna) | Medical University Hospital Authority | 171 Ashley Ave, Charleston, SC 29425-8908 |
| Richard H Jones | Diagnostic Radiology | University Medical Associates | 171 Ashley Ave, Charleston, SC 29425-8908 |
| Shruti Puri | Infectious Disease | University Medical Associates | 171 Ashley Ave, Charleston, SC 29425-8508 |
| Lindsey J Hendrickson | Nurse Practitioner | University Medical Associates | 171 Ashley Ave, Charleston, SC 29425-8908 |
| Bernard Velardo | Anesthesiology | University Medical Associates | 171 Ashley Ave, Charleston, SC 29425-8908 |
| Angela R Mund | Certified Registered Nurse Anesthetist (crna) | Medical University Hospital Authority | 171 Ashley Ave, Charleston, SC 29425-8908 |
| Amit Agrawal | Gastroenterology | University Medical Associates | 171 Ashley Ave, Charleston, SC 29425-8908 |
| Jeanne M Barreira | Certified Nurse Midwife (cnm) | Medical University Hospital Authority | 171 Ashley Ave, Charleston, SC 29425-8908 |
| Matthew F Kohler | Gynecological Oncology | University Medical Associates | 171 Ashley Ave, Charleston, SC 29425-8908 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rahul G Argula | Pulmonary Disease | University Medical Associates | 2810 Ashley Phosphate Rd, Suite B 11, Charleston, SC 29425-0001 |
| Rochelle N Judd | Nurse Practitioner | University Medical Associates | 2810 Ashley Phosphate Rd, Suite B 11, Charleston, SC 29425-0001 |
| Christopher William Bunt | Family Medicine | University Medical Associates | 171 Ashley Ave, Charleston, SC 29425-8508 |
| Kathryn A Vanravenstein | Nurse Practitioner | University Medical Associates | 171 Ashley Ave, Charleston, SC 29425-8508 |
| Danielle Prox | Nurse Practitioner | University Medical Associates | 171 Ashley Ave, Charleston, SC 29425-8508 |
| Nicholas J Milano | Nephrology | University Medical Associates | 171 Ashley Ave, Charleston, SC 29425-8508 |
| Sarah T Price | Family Medicine | University Medical Associates | 171 Ashley Ave, Charleston, SC 29425-8508 |
| Nicholas J Connors | Emergency Medicine | University Medical Associates | 171 Ashley Ave, Charleston, SC 29425-8508 |
| Khilen Bhupendra Patel | Obstetrics/gynecology | University Medical Associates | 171 Ashley Ave, Charleston, SC 29425-8508 |
| Sarah B Ferrillo | Nurse Practitioner | University Medical Associates | 171 Ashley Ave, Charleston, SC 29425-8508 |
| Find all physicians in zip 29425 | |||
| City | CHARLESTON |
| Zip Code | 29425 |
| Specialty | OPTOMETRY |
| City + Specialty | CHARLESTON + OPTOMETRY |
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| 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.