DAVID MICHAEL BLACK


Address: 625 9th Ave, Ste 210, Longview, WA 98632-2465
Phone: 3605013400

DAVID MICHAEL BLACK (NPI# 1245205228) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245205228
Entity Type Individual
Full Name DAVID MICHAEL BLACK
Credential MD
Practice Address 625 9th Ave
Ste 210
Longview
WA 98632-2465
Practice Telephone 3605013400
Practice Fax Number 3604236862
Mailing Telephone 3605013400
Mailing Fax Number 3604236862
Enumeration Date 2006-02-22
Last Update Date 2014-04-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207X00000X Orthopaedic Surgery MD00023497 WA Allopathic & Osteopathic Physicians
Y 207XS0106X Orthopaedic Surgery
Specialization: Hand Surgery
MD00024397 WA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
WA 1014117 05
OR 178434 05

Other Providers DAVID BLACK

NPI Name Taxonomy Address Enumeration
1740412410 David S Black Counselor 727 W 21st St, Laurel, MS 39440-2235 2009-08-14
1053536417 David Black Technician/Technologist 1123 Woodbank Dr, Seabrook, TX 77586-4014 2007-04-13
1316007123 David C Black Chiropractor 234 S. Sandusky Ave, Bucyrus, OH 44820 2006-12-11
1013015015 David Dow Black IIi Chiropractor 799 Main Street North, Cornelia, GA 30531 2006-09-21
1518989730 David E Black Dentist 1335 Hardy Rd, Vinton, VA 24179-2201 2006-07-24
1295756682 David Joseph Black Family Medicine 720 Sw 2nd Ave Ste 206, Gainesville, FL 32601-1210 2006-07-21
1235133679 David L Black Orthopaedic Surgery 3105 Mcclelland Blvd, Joplin, MO 64804-1640 2005-06-13
1164874145 David Detweiler Black Dentist 3550 Paxton St, Harrisburg, PA 17111-1414 2016-07-01
1831547603 David Black Nurse Practitioner 101 Cabarrus Ave E, Concord, NC 28025-3699 2016-06-02
1487918280 David Martin Black Emergency Medicine 1500 E. Medical Center Drive, B1-380 Tc, Spc 5305, Ann Arbor, MI 48109-5305 2012-06-27

Office Location

Street Address 625 9TH AVE
STE 210
City LONGVIEW
State WA
Zip Code 98632-2465

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285632919 Patrick M Lassen Urology 625 9th Ave, Suite 120, Longview, WA 98632-2464 2005-07-07
1356640312 Brittney Higa Physical Therapist 625 9th Ave, Suite 220, Longview, WA 98632-2464 2011-03-16
1891012316 Providence Health & Services - Oregon Clinic/Center 625 9th Ave, Suite 120, Longview, WA 98632-2465 2010-04-23
1043414741 Tony C Lin Orthopaedic Surgery 625 9th Ave, Ste 210, Longview, WA 98632-2464 2007-06-14
1063623429 Aaron C Varney Occupational Therapist 625 9th Ave, Suite 220, Longview, WA 98632 2007-05-25
1750481453 Longview Surgical Center LLC Clinic/Center 625 9th Ave, Suite #110, Longview, WA 98632 2006-09-22
1588688402 John Thomas Mansfield Urology 625 9th Ave, Suite 120, Longview, WA 98632-2464 2006-07-26
1366492795 David Maligro Physician Assistant 625 9th Ave, Ste 210, Longview, WA 98632-2465 2006-05-10
1225003213 William Taylor Turner Orthopaedic Surgery 625 9th Ave, Ste 210, Longview, WA 98632-2465 2006-02-22
1891760211 Bruce Gragg Blackstone Orthopaedic Surgery 625 9th Ave, Suite 210, Longview, WA 98632-2465 2006-02-20
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1851992366 Honor Senior Care LLC Home Health Aide 1135 3rd Ave, Ste S101, Longview, WA 98632 2020-11-03
1417416728 Sam Wise Dentist 1538 11th Ave Lowr Columbia, Longview, WA 98632 2019-03-16
1053870717 Matthew Johnson Physician Assistant 900 Ocean Beach Hwy Ste 110, Longview, WA 98632 2019-03-12
1295205367 Abid Valji Occupational Therapist Americana Health and Rehabilitation Center, 917 7th Ave, Longview, WA 98632 2018-11-30
1184106437 Peacehealth Durable Medical Equipment & Medical Supplies Triangle Mall Suite 16 1015 Ocean Beach Hwy, Longview, WA 98632 2018-09-04
1982186318 Linda Joan Mason Licensed Practical Nurse 1153 23rd Ave, Longview, WA 98632 2018-09-01
1891291910 Ellen Sumner Hornbeak Physical Therapist 200 Triangle Shopping Ctr Ste 270, Longview, WA 98632 2018-04-05
1700399961 Johnna Joyce Knapp Speech-Language Pathologist 2615 Lilac St, Longview, WA 98632 2017-11-09
1841711868 Deborah Annette Burzynski Registered Nurse 1057 12th Avenue, Longview, WA 98632 2017-06-29
1598291122 Cheyenne West Counselor 1616 10th Avenue, Longview, WA 98632 2017-05-02
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Taxonomy Information

Taxonomy Code 207XS0106X
Grouping Allopathic & Osteopathic Physicians
Classification Orthopaedic Surgery
Specialization Hand Surgery

Taxonomy Definition

An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1326564790 Proliance Surgeons, Inc., P.s Orthopaedic Surgery 6808 220th St Sw Ste 200, Mountlake Terrace, WA 98043-2187 2017-08-17
1689914541 Sound Hand and Orthopedics, Pllc Orthopaedic Surgery 901 Boren Ave Ste 900, Seattle, WA 98104-3596 2013-02-28
1083831549 Eugene Chan Farng Orthopaedic Surgery 4245 Roosevelt Way Ne # 354740, Seattle, WA 98105-6008 2007-04-19
1104942036 Steven L Summerfield Md Inc Ps Orthopaedic Surgery 4361 Talbot Rd S Ste 102, Renton, WA 98055-6226 2007-03-22
1750450490 Ghalib A. Husseini Orthopaedic Surgery 4446 Eld Ln Nw, Olympia, WA 98502-8806 2006-11-07
1467493890 Northwest Hand Specialists, Inc., P.s. Orthopaedic Surgery 19930 Ballinger Way Ne, Shoreline, WA 98155-1223 2006-06-09
1437102274 Strait Orthopedic Specialists. Ps Orthopaedic Surgery 832 Georgiana St, Port Angeles, WA 98362-3512 2006-05-19
1871574624 John A Miyano Orthopaedic Surgery 600 Broadway, Suite 440, Seattle, WA 98122 2005-11-09
1790293173 Bellevue Orthopedic Physicians Pllc Orthopaedic Surgery 1200 112th Ave Ne Ste C210, Bellevue, WA 98004 2018-01-19
1174036826 Bellevue Orthopedic Physicians Pllc Orthopaedic Surgery 1200 112th Ave Ne Ste C210, Bellevue, WA 98004 2017-11-15
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Competitor

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City LONGVIEW
Zip Code 98632

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Dataset Information

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.

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