DR. CHAD ROBINSON BLACK


Address: 3131 La Canada St Ste 200, Las Vegas, NV 89169-2579
Phone: 7023695582

DR. CHAD ROBINSON BLACK (NPI# 1013186964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1013186964
Entity Type Individual
Full Name DR. CHAD ROBINSON BLACK
Credential MD
Practice Address 3131 La Canada St Ste 200
Las Vegas
NV 89169-2579
Mailing Address Po Box 98978
Las Vegas
NV 89193-8978
Practice Telephone 7023695582
Practice Fax Number 7023698470
Mailing Telephone 7022163346
Enumeration Date 2008-02-25
Last Update Date 2020-10-08
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 20232 NV Allopathic & Osteopathic Physicians
N 207Q00000X Family Medicine ME 100993 FL Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
NV STATE LICENSE 20232 01
NV 1013186964 05
FL LICENSE ME100993 01

Office Location

Street Address 3131 LA CANADA ST STE 200
City LAS VEGAS
State NV
Zip Code 89169-2579

Providers in the same location

NPI Name Taxonomy Address Enumeration
1710966288 Genadi Maltinski Family Medicine 3131 La Canada St Ste 200, Las Vegas, NV 89169-2579 2006-01-12
1467504175 Divina Gracia Averilla Family Medicine 3131 La Canada St Ste 200, Las Vegas, NV 89169-2579 2007-01-16

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164038196 Tammy E Smith Home Health 1500 Karen Ave, 65, Las Vegas, NV 89169 2020-09-16
1457978561 Damon Lavell Cohran Counselor 459 Sierra Vista Dr, 32, Las Vegas, NV 89169 2020-07-06
1912543307 Josephine R Hernandez Rehabilitation Practitioner Firstmed Health and Wellness Center Inc., 3343 S. Eastern Avenue, Las Vegas, NV 89169 2019-11-21
1528602174 Cindy Pena Jaramillo Technician 3376 S. Eaatern Ave, Las Vegas, NV 89169 2019-11-06
1497309967 Richard Snarr Worthen Technician 3175 South Eastern Ave, Las Vegas, NV 89169 2019-08-01
1447718796 Hope Industries LLC Chore Provider 1711 E Desert Inn Rd, Las Vegas, NV 89169 2019-03-06
1609345321 Diaz Health LLC Community/Behavioral Health 5225 West 2nd Street, Las Vegas, NV 89169 2018-11-26
1902371024 Kevin Burnett Technician 1100 Dunmont Apt 202, Las Vegas, NV 89169 2018-10-04
1659865111 Kimberly Jackson-hampton Counselor 335 E Harmon Ave Apt 30, Las Vegas, NV 89169 2018-06-19
1093216350 Blessed Services LLC Community/Behavioral Health 2525 White Street, Las Vegas, NV 89169 2018-02-22
Find all providers in zip 89169

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1699374256 Dmc Medical Clinic Ltd Family Medicine 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 2020-10-23
1558968420 Neuro Health LLC Family Medicine 7455 W Washington Ave Ste 140, Las Vegas, NV 89128-4349 2020-10-05
1154934131 Body & Mind Uplifment LLC Family Medicine 2215 Renaissance Dr Ste A, Las Vegas, NV 89119-6723 2020-08-28
1639788599 Telelab Family Medicine 7881 W Charleston Blvd Ste 230, Las Vegas, NV 89117-8327 2020-07-27
1629687926 Maria Habbi Md Family Medicine 501 S Rancho Dr Ste F40, Las Vegas, NV 89106-4834 2020-07-23
1225646805 Shelley Elizabeth Ameduri Family Medicine 3943 Deluge Dr, Las Vegas, NV 89129-6481 2020-07-20
1659995090 Universal Medical Alliance Inc. Family Medicine 6268 Spring Mountain Rd Ste 115b, Las Vegas, NV 89146-8873 2020-06-02
1255954640 Partners In Primary Care Nv PC Family Medicine 4919 W Craig Rd, Las Vegas, NV 89130-2730 2020-05-20
1669095048 Partners In Primary Care Nv PC Family Medicine 4813 S Eastern Ave, Las Vegas, NV 89119-6188 2020-05-20
1184247579 Partners In Primary Care Nv PC Family Medicine 3129 N Rainbow Blvd, Las Vegas, NV 89108-4578 2020-05-20
Find all providers in LAS VEGAS

Competitor

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City LAS VEGAS
Zip Code 89169

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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