DR. JOSEPH T BLACK (NPI# 1083798714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083798714 |
| Entity Type | Individual |
| Full Name | DR. JOSEPH T BLACK |
| Credential | MD |
| Practice Address |
4921 Parkview Pl Saint Louis MO 63110-1032 |
| Mailing Address |
660 S Euclid Ave C B 8111 Saint Louis MO 63110-1010 |
| Practice Telephone | 3143621408 |
| Practice Fax Number | 3147472444 |
| Mailing Telephone | 3143621408 |
| Mailing Fax Number | 3147472444 |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2018-01-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
R6503 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | ENROLLED | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083753370 | Joseph Black | Family Medicine | Perdue 20621 Savannah Rd, Georgetown, DE 19947-1499 | 2007-02-05 |
| 1578524377 | Joseph M Black | Internal Medicine | 2550 Nw Edenbower Blvd, Suite 100, Roseburg, OR 97471-8829 | 2006-03-31 |
| 1083231500 | Joseph Black | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-06-30 |
| 1821552829 | Joseph Andrew Black | Peer Specialist | 401 5th Ave Ste 400, Seattle, WA 98104-2377 | 2019-01-24 |
| 1841609740 | Joseph S Black | Psychologist | 4 Allegheny Ctr Fl 8, Pittsburgh, PA 15212-5255 | 2014-08-05 |
| 1003189663 | Joseph W Black | Social Worker | 5005 N Piedras St, William Beaumont Army Medical Center, El Paso, TX 79920-5001 | 2012-02-13 |
| 1194005074 | Joseph Lynn Black | Pharmacist | 396 E Roosevelt Blvd, Monroe, NC 28112-4043 | 2011-08-23 |
| 1780737106 | Joseph L Black | Internal Medicine | 3303 Sw Bond Ave, Family Medicine South Waterfront Clinic, Portland, OR 97239-4501 | 2007-01-19 |
| 1124178918 | Joseph Edward Black | Psychologist | 731 E Main St, Suite 13, Jackson, OH 45640-2100 | 2007-01-12 |
| 1699784769 | Joseph Black | Physician Assistant | 3311 E Murdock St, Wichita, KS 67208-3054 | 2006-08-06 |
| Street Address |
4921 PARKVIEW PL |
| City | SAINT LOUIS |
| State | MO |
| Zip Code | 63110-1032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679576359 | Peter D Weiss | Internal Medicine | 4921 Parkview Pl, Ste 14b, Saint Louis, MO 63110-1032 | 2005-05-24 |
| 1881291284 | Brandy R Boyle | Nurse Practitioner | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2020-10-08 |
| 1225635527 | Faith Fields | Nurse Practitioner | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2020-10-08 |
| 1912528100 | Kaitlin J Portz | Psychologist | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2020-04-29 |
| 1437785979 | Jodi Granger | Internal Medicine | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2020-03-17 |
| 1174159701 | Grace Catherine Keane | Student in an Organized Health Care Education/Training Program | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2020-03-16 |
| 1740828581 | Michelle Anne Maurer | Nurse Practitioner | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2019-12-11 |
| 1205472487 | Sarah Bohme | Nurse Practitioner | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2019-11-21 |
| 1972145787 | Emily Sarah Cherry | Nurse Practitioner | 4921 Parkview Pl, Ste 11c, Saint Louis, MO 63110-1032 | 2019-10-14 |
| 1871144832 | Sara Ranae Kellahan | Nurse Practitioner | 4921 Parkview Pl, Ste 5c, Saint Louis, MO 63110-1032 | 2019-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1881210466 | Michelle Amanda Freilich | Internal Medicine | Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-06-19 |
| 1245856046 | Jeevin Shahi | Radiology | 3685 Vista Avenue, Center for Radiation Medicine, St. Louis, MO 63110 | 2020-06-18 |
| 1497371314 | Wilson Eduardo Rodriguez | Student in an Organized Health Care Education/Training Program | 1008 S. Spring, St Louis, MO 63110 | 2020-06-17 |
| 1578184065 | Kathryn Kay Lindsay | Registered Nurse | Saint Louis University Dept of Surgery, 3635 Vista Ave 3dt, St Louis, MO 63110 | 2020-05-06 |
| 1881232700 | Ashley Diane Pace | Nurse Practitioner | 1 Parkview Place, Shoenberg 6900, St. Louis, MO 63110 | 2019-12-11 |
| 1619520418 | Krithika Damodar Shenoy | Pathology | 660 Euclid Avenue, One Barnes Jewish Hospital Plaza, St. Louis, MO 63110 | 2019-07-20 |
| 1467912550 | Ian Ferguson | Dermatology | 660 S Euclid Ave., Cb 8123, St. Louis, MO 63110 | 2019-03-23 |
| 1760978688 | Ihab Hassanieh | Student in an Organized Health Care Education/Training Program | 33660 Vista Ave, St. Louis, MO 63110 | 2018-07-03 |
| 1336634500 | Martin K Mwangi | Pediatrics | 1 Childrens Place, 3s34, St. Louis, M, MO 63110 | 2018-06-28 |
| Find all providers in zip 63110 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750764866 | Jeffrey Calvin | Psychiatry & Neurology | 621 S New Ballas Rd Ste 6005b, Saint Louis, MO 63141-8273 | 2015-07-07 |
| 1871848853 | Michael David White | Psychiatry & Neurology | 4901 Forest Park Ave, 2nd Floor Medicine Clinic, Center for Outpatient Health, Saint Louis, MO 63108 | 2012-07-17 |
| 1811200983 | St Louis Neurology Associates Inc | Psychiatry & Neurology | 12810 Tesson Ferry Rd, Saint Louis, MO 63128-2913 | 2010-07-19 |
| 1144412339 | Gabriela Sales De Bruin | Psychiatry & Neurology | 212 N Kingshighway Blvd Ste 237, Ste 237, Saint Louis, MO 63108-1266 | 2007-08-13 |
| 1568501245 | Bennett David Frank | Psychiatry & Neurology | 969 N Mason Rd Ste 155, Saint Louis, MO 63141-6387 | 2007-02-06 |
| 1538253430 | J Mario V Alonso Jr Inc | Psychiatry & Neurology | 2716 Telegraph Rd, Suite 105, Saint Louis, MO 63125-4078 | 2006-10-03 |
| 1871511329 | John Carl Morris | Psychiatry & Neurology | 4488 Forest Park Ave Ste 160, Ste 160, Saint Louis, MO 63108-2215 | 2006-07-17 |
| 1154367282 | Brent Alan Huffman | Psychiatry & Neurology | 3009 N Ballas Rd Ste 102b, Saint Louis, MO 63131-2343 | 2006-06-20 |
| 1073555140 | Dante O Garrido | Psychiatry & Neurology | 12963 Walnutway Ter, Saint Louis, MO 63146-6047 | 2006-06-12 |
| 1902858251 | Annick Olga Weber | Psychiatry & Neurology | 20 Archbishop May Dr, Saint Louis, MO 63119-5738 | 2006-05-16 |
| Find all providers in SAINT LOUIS | ||||
| City | SAINT LOUIS |
| Zip Code | 63110 |
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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.