KYLE E BLACK (NPI# 1225077415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225077415 |
| Entity Type | Individual |
| Full Name | KYLE E BLACK |
| Credential | MD |
| Practice Address |
5616 Denwood Ln Durham NC 27705-9252 |
| Practice Telephone | 9193580756 |
| Mailing Telephone | 9193580756 |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2015-04-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | 5481 | AK | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AK | MD8533 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366968307 | Kyle Joseph Black | Physical Therapist | 350 S Main St, Florence, AZ 85132-8513 | 2017-08-22 |
| Street Address |
5616 DENWOOD LN |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-9252 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437546934 | Hari Shankar Mitra | Orthopaedic Surgery | 40 Duke Medicine Cir # 1b1c, Durham, NC 27710-3761 | 2015-04-22 |
| 1275945297 | Jay Paul Willhite | Orthopaedic Surgery | 1905 Childrens Health Ctr Department of Radiology, Durham, NC 27710 | 2014-05-26 |
| 1912263880 | Daniel Mangiapani | Orthopaedic Surgery | 2227 Meade Ln, Durham, NC 27707-2964 | 2012-04-05 |
| 1730356056 | Melissa Maria Erickson | Orthopaedic Surgery | 30 Duke Medicine Cir, Durham, NC 27710-3000 | 2008-05-15 |
| 1134203029 | James Messersmith | Orthopaedic Surgery | 3609 Watkins Rd, Durham, NC 27707-3355 | 2006-10-25 |
| 1548357064 | Robert D Zura | Orthopaedic Surgery | Dumc 3205, Durham, NC 27710-0001 | 2006-10-06 |
| 1740371012 | Richard D. Goldner | Orthopaedic Surgery | 3480 Duke Medical Ctr, Durham, NC 27710-0001 | 2006-09-28 |
| 1962463125 | Thomas Craig Derian | Orthopaedic Surgery | 4206 N Roxboro Street, Suite 120, Durham, NC 27704-1868 | 2006-03-29 |
| 1447226402 | Russell R. Zelko | Orthopaedic Surgery | 4220 Apex Hwy, Suite 200, Durham, NC 27713 | 2006-02-28 |
| 1922084672 | Steven C. Winters | Orthopaedic Surgery | 2417 Vintage Hill Dr, Durham, NC 27712-9477 | 2005-12-15 |
| Find all providers in DURHAM | ||||
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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.