HARRY RICHARD BLACK (NPI# 1124124268) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124124268 |
| Entity Type | Individual |
| Full Name | HARRY RICHARD BLACK |
| Credential | MD |
| Practice Address |
659 W Onondaga St Syracuse NY 13204 |
| Practice Telephone | 3154755176 |
| Practice Fax Number | 3154760263 |
| Mailing Telephone | 3154755176 |
| Mailing Fax Number | 3154760263 |
| Enumeration Date | 2006-09-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | 119574 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GHT | 0018612 | 01 | |
| UNITED HEALTHCARE | 286833 | 01 | |
| BLUE SHIELD | 00981 | 01 | |
| MVP | 321287 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982691077 | Harry H Black | Surgery | 201 North Clyde Morris Blvd, Suite 100, Daytona Beach, FL 32114-2724 | 2005-10-04 |
| 1821546797 | Harry Black | Peer Specialist | 231 E Graham Ave, Pryor, OK 74361-2436 | 2016-09-20 |
| Street Address |
659 W ONONDAGA ST |
| City | SYRACUSE |
| State | NY |
| Zip Code | 13204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417560145 | Angela Hester | Psychologist | Behavioral Health Outpatient Clinic, 620 Erie Blvd West, Syracuse, NY 13204 | 2020-08-24 |
| 1366967366 | Zakiya Folami Moss | Nurse Practitioner | 321 Gifford Street, Syracuse, NY 13204 | 2017-08-10 |
| 1417350497 | Vickie Godbold | Licensed Practical Nurse | 501 Bellevue Ave, Syracuse, NY 13204 | 2014-10-03 |
| 1700296571 | Christine Michelle Feliciano | Licensed Practical Nurse | 206 Merriman Ave, Syracuse, NY 13204 | 2014-05-02 |
| 1215358213 | Mika Latoy Johnson | Licensed Practical Nurse | 197 Lakeview Ave, Syracuse, NY 13204 | 2013-12-18 |
| 1376834374 | Autumn Day Novakowski | Registered Nurse | 800 S. Wilbur Ave, Syracuse, NY 13204 | 2011-04-25 |
| 1649580440 | Elizabeth Elliott Carl | Speech-Language Pathologist | 204 Jamesville Road, Dewitt, NY 13204 | 2010-10-14 |
| 1699082073 | Charlene Davis | Licensed Practical Nurse | 183 Lakeview Ave., Syr, NY 13204 | 2010-09-08 |
| 1477873776 | Lorna Cordella Forbes | Registered Nurse | 620 Erie Blvd W Ste 208, Syracuse, NY 13204 | 2010-06-09 |
| 1043442528 | Juliet Ophelia Williams-seals | Licensed Practical Nurse | 525 Plum St, Apt 404, Syracuse, NY 13204 | 2009-08-17 |
| Find all providers in zip 13204 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912479346 | Georgia Carvounis | General Practice | 109 S Warren St Apt 807, Syracuse, NY 13202-1798 | 2018-12-25 |
| 1265557995 | West Onondaga Physicians PC | General Practice | 659 West Onondaga St, Syracuse, NY 13204 | 2007-03-20 |
| 1578587267 | Richard Jaeger | General Practice | 100 Madison St, Syracuse, NY 13202-2799 | 2006-07-26 |
| 1902245384 | Sean Bresnahan | General Practice | 182 Intrepid Ln, Syracuse, NY 13205-2545 | 2013-06-19 |
| 1235358292 | Cynthia B Morrow | General Practice | 421 Montgomery St, Civic Center - 9th Floor, Syracuse, NY 13202-2923 | 2007-04-25 |
| 1770600835 | Alicja Golebiowski | General Practice | 800 S Wilbur Ave, Syracuse, NY 13204-2732 | 2007-03-23 |
| 1477581296 | Hamilton County Hospital | General Practice | 700 North Huser, Syracuse, KS 67878-1278 | 2006-06-29 |
| 1972530103 | Fred Harvey Ayers | General Practice | 700 North Huser, Syracuse, KS 67878-1278 | 2006-06-26 |
| 1134169402 | Betsy B Mcnerney | General Practice | 1816 Erie Blvd E, Syracuse, NY 13210-1230 | 2006-06-07 |
| 1437140266 | Bill C Hines | General Practice | 819 S Salina St, Syracuse, NY 13202-3536 | 2005-11-01 |
| Find all providers in SYRACUSE | ||||
Please comment or provide details below to improve the information on HARRY RICHARD BLACK.
| 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.