CHRISTOPHER MICHAEL BLACK (NPI# 1205195138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205195138 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER MICHAEL BLACK |
| Credential | M.D. |
| Practice Address |
1102 W 32nd St Joplin MO 64804-3503 |
| Mailing Address |
Po Box 3810 Joplin MO 64803-3810 |
| Practice Telephone | 4173474094 |
| Mailing Telephone | 4174389300 |
| Enumeration Date | 2012-05-12 |
| Last Update Date | 2016-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 390200000X | Student in an Organized Health Care Education/Training Program | OH | Student, Health Care | |
| Y | 207RH0002X |
Internal Medicine Specialization: Hospice and Palliative Medicine |
2016024020 | MO | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578036711 | Christopher Michael Black | Student in an Organized Health Care Education/Training Program | 2333 Se 45th Ave, Portland, OR 97215-3729 | 2019-01-10 |
| 1821506163 | Christopher G Black | Psychologist | 703 3rd St Rm 1120, West Lafayette, IN 47907-2081 | 2018-01-22 |
| 1396727749 | Christopher Philip Black | Emergency Medicine | 18983 Us Route 11, Watertown, NY 13601-5320 | 2005-11-18 |
| 1407496029 | Christopher Vaughn Black | Physical Therapist | 313 Neff Ave Ste C, Harrisonburg, VA 22801-3495 | 2020-01-11 |
| 1619520467 | Christopher Black | Counselor | 4131 University Blvd S, Jacksonville, FL 32216-4326 | 2019-07-22 |
| 1710546346 | Christopher Michael Black | Behavior Technician | 1070 W Houghton Lake Dr, Prudenville, MI 48651-9673 | 2019-06-07 |
| 1457736605 | Christopher Black | Pharmacist | 105 Foothills Center Dr, West Union, SC 29696-2518 | 2015-07-29 |
| 1427219286 | Christopher Black | Anesthesiology | 450 N New Ballas Rd, Saint Louis, MO 63141-6835 | 2008-06-24 |
| 1235342957 | Christopher D Black | Family Medicine | 2490 Oka St, Kilauea, HI 96754-5332 | 2007-05-08 |
| 1770524076 | Christopher S Black | Chiropractor | 140 Point Judith Rd, #30, Narragansett, RI 02882-3451 | 2006-06-09 |
| Street Address |
1102 W 32ND ST |
| City | JOPLIN |
| State | MO |
| Zip Code | 64804-3503 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255334777 | Christopher Ryan Longnecker | Internal Medicine | 1102 W 32nd St, Suite 300, Joplin, MO 64804-3503 | 2005-05-30 |
| 1710596580 | Zachary Palumbo | Registered Nurse | 1102 W 32nd St, Joplin, MO 64804-3503 | 2020-07-28 |
| 1346866746 | Nina D Pinjala | Emergency Medicine | 1102 W 32nd St, Joplin, MO 64804-3594 | 2020-06-22 |
| 1154947935 | Steven Musili Mwanzia | Nurse Anesthetist, Certified Registered | 1102 W 32nd St, Joplin, MO 64804-3503 | 2020-06-17 |
| 1326662248 | Thomas D Hardwicke | Nurse Anesthetist, Certified Registered | 1102 W 32nd St, Joplin, MO 64804-3594 | 2020-06-05 |
| 1194349266 | Seth Miller | Nurse Anesthetist, Certified Registered | 1102 W 32nd St, Joplin, MO 64804-3503 | 2020-06-03 |
| 1063035731 | Jacob Cherry | Nurse Anesthetist, Certified Registered | 1102 W 32nd St, Joplin, MO 64804-3594 | 2020-05-28 |
| 1831712108 | Justin Orren | Student in an Organized Health Care Education/Training Program | 1102 W 32nd St, Joplin, MO 64804-3503 | 2020-05-21 |
| 1508489121 | Ashley Ryder | Student in an Organized Health Care Education/Training Program | 1102 W 32nd St, Joplin, MO 64804-3503 | 2020-05-19 |
| 1962025585 | Zachary Vincent | Student in an Organized Health Care Education/Training Program | 1102 W 32nd St, Joplin, MO 64804-3503 | 2020-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1346859600 | Centered and Connected LLC | Counselor | 2401 E 32nd St, Ste 10 #103, Joplin, MO 64804 | 2020-07-23 |
| 1649838780 | Nicole Lynn Egan | Social Worker | 3010 Mcclelland, Joplin, MO 64804 | 2019-06-04 |
| 1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
| 1447732508 | Urgent Care Travel, Inc | Clinic/Center | 5931 E 32nd Street, Joplin, MO 64804 | 2018-09-05 |
| 1912488891 | Karl G. Keczkemethy | Dietitian, Registered | 100 Mercy Way Ste 570, Joplin, MO 64804 | 2018-08-28 |
| 1790207546 | Jacksie Short | Dentist | 2819 E 29th St, Joplin, MO 64804 | 2017-07-13 |
| 1326574625 | Kristine Kwon Rowland | Nurse Practitioner | 100 Mercy Way Ste 320-330, Joplin, MO 64804 | 2017-05-05 |
| 1942735212 | West R Loveland | Counselor | 3230 S Wisconsin St Suite H, Joplin, MO 64804 | 2017-04-25 |
| 1174070205 | Tracy L Fry | Nurse Practitioner | 3333 Mcintosh Cir Ste 4, Joplin, MO 64804 | 2016-09-07 |
| Find all providers in zip 64804 | ||||
| Taxonomy Code | 207RH0002X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hospice and Palliative Medicine |
| An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care. |
| Notes: Source: American Academy of Hospice and Palliative Medicine, www.aahpm.org [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659793305 | St. Anthony's Physician Organization | Internal Medicine | 12700 Southfork Rd Ste 200, Saint Louis, MO 63128-3201 | 2014-01-15 |
| 1689010266 | Taylor D Cordonnier | Internal Medicine | 1 Hospital Dr # Dc032.00, Columbia, MO 65212-0001 | 2013-05-22 |
| 1548584394 | Groves Community Hospice, LLC | Internal Medicine | 15600 Woods Chapel Rd Ste A, Kansas City, MO 64139-1355 | 2010-03-23 |
| 1174665392 | Amy Lou Clarkson | Internal Medicine | 9221 Ward Pkwy Ste 100, Kansas City, MO 64114-3332 | 2007-02-13 |
| 1134227473 | Van Amburg & Busiek Mds, LLC | Internal Medicine | 232 S Woods Mill Rd Ste 330e, Chesterfield, MO 63017-3467 | 2006-09-20 |
| 1114954708 | Michelle Z Schultz | Internal Medicine | 621 S New Ballas Rd Ste 6017b, Saint Louis, MO 63141-8274 | 2006-06-27 |
| 1184678625 | Katharine Ponzillo | Internal Medicine | 3009 N Ballas Rd Ste 383c, Saint Louis, MO 63131 | 2006-05-20 |
| 1740232578 | Amber Lea Wollesen | Internal Medicine | 9229 Ward Pkwy Ste 380, Kansas City, MO 64114-5471 | 2006-05-17 |
| 1083605083 | Janis M Steinbrecher | Internal Medicine | 506 Nw Murray Rd, Lees Summit, MO 64081-1403 | 2005-10-31 |
| 1023624558 | Community Hospices of America, LLC | Internal Medicine | 1602c N Main St, Mountain Grove, MO 65711-1010 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CHRISTOPHER MICHAEL 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.