SPENCER EVAN BLACK (NPI# 1053842914) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053842914 |
| Entity Type | Individual |
| Full Name | SPENCER EVAN BLACK |
| Credential | MD |
| Practice Address |
245 Fountain Ct Lexington KY 40509-1888 |
| Practice Telephone | 8593236021 |
| Practice Fax Number | 8593231670 |
| Mailing Telephone | 8593236021 |
| Mailing Fax Number | 8593231670 |
| Enumeration Date | 2017-03-22 |
| Last Update Date | 2020-10-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | R4347 | KY | Allopathic & Osteopathic Physicians |
| Street Address |
245 FOUNTAIN CT |
| City | LEXINGTON |
| State | KY |
| Zip Code | 40509-1888 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679519136 | Tamera Kim Meyer | Psychiatry & Neurology | 245 Fountain Ct, Lexington, KY 40509 | 2006-06-22 |
| 1942838099 | Colleen Elizabeth Taylor | Student in an Organized Health Care Education/Training Program | 245 Fountain Ct, Lexington, KY 40509-1888 | 2020-04-01 |
| 1699302885 | Jesse Steven Matherly | Student in an Organized Health Care Education/Training Program | 245 Fountain Ct, Lexington, KY 40509-1888 | 2020-03-26 |
| 1811524119 | Madaleine Meeks | Student in an Organized Health Care Education/Training Program | 245 Fountain Ct, Lexington, KY 40509-1888 | 2020-03-25 |
| 1043847528 | Sarah Michelle Mcclanahan | Student in an Organized Health Care Education/Training Program | 245 Fountain Ct, Lexington, KY 40509-1888 | 2020-03-25 |
| 1720615180 | Helen Theophilia Davis Oexmann | Student in an Organized Health Care Education/Training Program | 245 Fountain Ct, Lexington, KY 40509-1888 | 2020-03-25 |
| 1750918041 | Ziad A. Ali | Student in an Organized Health Care Education/Training Program | 245 Fountain Ct, Lexington, KY 40509-1888 | 2020-03-25 |
| 1457988800 | Nathaniel Alaka'i Aquino | Student in an Organized Health Care Education/Training Program | 245 Fountain Ct, Lexington, KY 40509-1888 | 2020-03-25 |
| 1275094492 | Christian Sean Adams | Student in an Organized Health Care Education/Training Program | 245 Fountain Ct, Lexington, KY 40509-1888 | 2019-03-29 |
| 1164982286 | Haley Renee Wehder | Student in an Organized Health Care Education/Training Program | 245 Fountain Ct, Lexington, KY 40509-1810 | 2019-03-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902453640 | Grace T. Hallak | Counselor | 513 Darby Creek Rd, Lexington, KY 40509 | 2019-08-19 |
| 1932755774 | Lexington-fayette Urban-county Health Department | Public Health or Welfare | 4801 Athens Boonesboro Rd, Lexington, KY 40509 | 2019-08-16 |
| 1497308266 | Discover You Counseling LLC | Social Worker | 513 Darby Creek Drive, Unit 56 D, Lexington, KY 40509 | 2019-07-22 |
| 1407323611 | Trevor Douglas Mchardy | Physician Assistant | 101 North Eagle Creek Drive, Lexington, KY 40509 | 2018-10-25 |
| 1114413184 | Megan Medrano | Dietitian, Registered | 163 Old Todds Rd Ste 115, Lexington, KY 40509 | 2018-07-02 |
| 1750884292 | Active Medical LLC | Durable Medical Equipment & Medical Supplies | 3470 Blazer Pkwy Ste 350, Lexington, KY 40509 | 2018-03-12 |
| 1699273599 | Frederick Douglas High School | Public Health or Welfare | 2000 Winchester Rd, Lexington, KY 40509 | 2018-01-25 |
| 1710409370 | Sleep Identity Pllc | Clinic/Center | 541 Darby Creek Road, Ste 190, Lexington, KY 40509 | 2017-07-14 |
| 1164956397 | Danielle Anderson | Family Medicine | 24 Fountain Court, Suite 225, Lexington, KY 40509 | 2017-04-14 |
| 1356891782 | Dawn Jones | Physician Assistant | 101 N Eagle Creek Dr, Ste 120, Lexington, KY 40509 | 2016-10-10 |
| Find all providers in zip 40509 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396268223 | Prasanna Kumar Gangishetti | Pediatrics | 800 Rose St Rm No Mn-118, Lexington, KY 40536 | 2017-07-23 |
| 1154855054 | John Michael Jansen | Pediatrics | 3320 Tates Creek Rd Ste 302, Lexington, KY 40502-3400 | 2017-04-18 |
| 1407218589 | Caitlyn Anglin | Pediatrics | University of Kentucky 800 Rose St Rm Mn 118, Lexington, KY 40536-1356 | 2016-03-28 |
| 1497117667 | Frances Michelle Curran | Pediatrics | 800 Rose St Rm Mn-118, Lexington, KY 40536-0298 | 2016-03-25 |
| 1073995908 | John Stone | Pediatrics | Pediatric Residency Program Uk 800 Rose St, Mn472, Lexington, KY 40536-0293 | 2015-06-27 |
| 1346621042 | Nina Azer Salfity | Pediatrics | 800 Rose St Rm Mn-472, Lexington, KY 40536-0293 | 2015-06-18 |
| 1417334103 | William Douglas Hacker | Pediatrics | 4856 Pleasant Grove Road, Lexington, KY 40515 | 2015-05-01 |
| 1235525957 | Carl Wayne Dowden | Pediatrics | 740 S Limestone Ste J201, Lexington, KY 40536-7001 | 2015-04-09 |
| 1861808271 | Rucha Shukla | Pediatrics | 138 Leader Ave Rm 9a, Lexington, KY 40508 | 2014-07-07 |
| 1184030983 | Anna Caitlynn Iddings | Pediatrics | 800 Rose Street Mn118, Lexington, KY 40536-0001 | 2014-07-01 |
| Find all providers in LEXINGTON | ||||
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| 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.