KEVIN ZACHARY BLACK (NPI# 1285256909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285256909 |
| Entity Type | Individual |
| Full Name | KEVIN ZACHARY BLACK |
| Practice Address |
100 Peach St Ste 400 Erie PA 16507-1423 |
| Mailing Address |
3600 Forbes Ave Ste 140 Pittsburgh PA 15213-3410 |
| Practice Telephone | 8144548287 |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2020-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013352863 | Kevin Black | Dentist | 700 Essex St Unit 1a1, Lawrence, MA 01841-4396 | 2013-05-07 |
| 1003995085 | Kevin Hale Black | Dentist | 205th Dental Squadron, Bldg 2417, Mcguire Blvd, Mcguire Afb, NJ 08641 | 2006-11-02 |
| 1710514591 | Kevin Benjamin Black Jr. | Student in an Organized Health Care Education/Training Program | 1611 Nw 12th Ave, Miami, FL 33136-1005 | 2020-03-24 |
| 1821644576 | Kevin Black | Behavior Technician | 5601 Arnold Rd Fl 100, Dublin, CA 94568-7726 | 2019-08-16 |
| 1699263889 | Kevin Black | Social Worker | 3710 Sw Us Veterans Hospital Rd, Portland, OR 97239-2964 | 2018-04-24 |
| 1275763393 | Kevin Heath Black | Physical Therapist | 8201 Atlee Rd, Suite D, Mechanicsville, VA 23116-1815 | 2009-07-23 |
| 1558389007 | Kevin J Black | Psychiatry & Neurology | 517 S Euclid Ave, Saint Louis, MO 63110-1007 | 2006-07-17 |
| 1497719603 | Kevin P Black | Orthopaedic Surgery | 30 Hope Dr Ste 2400, Hershey, PA 17033 | 2006-04-14 |
| Street Address |
100 PEACH ST STE 400 |
| City | ERIE |
| State | PA |
| Zip Code | 16507-1423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376546358 | Nick Stefanovski | Orthopaedic Surgery | 100 Peach St Ste 400, Erie, PA 16507-1423 | 2005-05-24 |
| 1124640420 | Fernando H Ferrera | Student in an Organized Health Care Education/Training Program | 100 Peach St Ste 400, Erie, PA 16507-1423 | 2020-05-11 |
| 1952960239 | Dylan Lawrence | Student in an Organized Health Care Education/Training Program | 100 Peach St Ste 400, Erie, PA 16507-1423 | 2019-06-10 |
| 1588228886 | Andrew Ashby Barrett | Student in an Organized Health Care Education/Training Program | 100 Peach St Ste 400, Erie, PA 16507-1423 | 2019-04-23 |
| 1821651217 | Jeffrey Zoltan | Student in an Organized Health Care Education/Training Program | 100 Peach St Ste 400, Erie, PA 16507-1423 | 2019-04-21 |
| 1033686902 | Jessica Mae Bourke | Physician Assistant | 100 Peach St Ste 400, Erie, PA 16507-1423 | 2018-10-30 |
| 1467760363 | Julia D Coseo | Physician Assistant | 100 Peach St Ste 400, Erie, PA 16507-1423 | 2010-09-14 |
| 1881876589 | Joseph D Kitts | Physician Assistant | 100 Peach St Ste 400, Erie, PA 16507-1423 | 2007-12-04 |
| 1295747848 | Mark A. Krahe | Orthopaedic Surgery | 100 Peach St Ste 400, Erie, PA 16507-1423 | 2006-08-12 |
| 1386611523 | Carl Y Seon | Orthopaedic Surgery | 100 Peach St Ste 400, Erie, PA 16507-1423 | 2006-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275198723 | Ram Baboo | Student in an Organized Health Care Education/Training Program | 120 East 2nd Street Upmc Northshore Neurology, 3rd Floor, Erie, PA 16507 | 2019-05-09 |
| 1518431915 | Katrina L Putnam | Social Worker | 101 East Avenue, Erie, PA 16507 | 2019-01-18 |
| 1144712084 | Kathlyn Elise Callenius | Student in an Organized Health Care Education/Training Program | 120 East Second St, 3rd Floor, Erie, PA 16507 | 2018-06-06 |
| 1043707490 | Cecelia Anne Hollands | Counselor | 103 East Ave., Erie, PA 16507 | 2018-04-20 |
| 1336591239 | Zachary Dusckas | Student in an Organized Health Care Education/Training Program | 100 Peach St #400, Orthopaedics & Sports Medicine of Erie, Erie, PA 16507 | 2016-07-05 |
| 1679928329 | Stephanie Libra | Occupational Therapist | 100 Barber Place, Box # 29, Erie, PA 16507 | 2016-05-02 |
| 1821476243 | Colin Macelroy Vroome Jr. | Orthopaedic Surgery | Hand, Microsurgery, Reconstructive Orthopedics, LLP, 300 State St. Suite 205, Erie, PA 16507 | 2015-05-18 |
| 1255742227 | Danoushka Tememe | Psychiatry & Neurology | 120 East Second St., 3rd Floor, Erie, PA 16507 | 2014-05-13 |
| 1811307507 | David Aaron Hammer | Psychiatry & Neurology | 120 E Second Street Upmc North Shore Neurology, 7rd Floor, Erie, PA 16507 | 2014-05-02 |
| 1912330325 | Jeanine Krugger | Pharmacist | 363 East 6th St, Erie, PA 16507 | 2013-08-21 |
| Find all providers in zip 16507 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952913907 | Alexandria Parker | Student in an Organized Health Care Education/Training Program | 535 Brennan Cir, Erie, CO 80516-7049 | 2020-08-20 |
| 1568087542 | Jason Latsky | Student in an Organized Health Care Education/Training Program | 232 W 25th Street, Erie, PA 16544 | 2020-06-15 |
| 1366071029 | Claire Catherine Kenny | Student in an Organized Health Care Education/Training Program | 232 Seminole Dr, Erie, PA 16505-2422 | 2020-04-05 |
| 1679102321 | Brady Bianco | Student in an Organized Health Care Education/Training Program | 5903 Garries Rd, Erie, PA 16506-4806 | 2020-04-05 |
| 1275198723 | Ram Baboo | Student in an Organized Health Care Education/Training Program | 120 East 2nd Street Upmc Northshore Neurology, 3rd Floor, Erie, PA 16507 | 2019-05-09 |
| 1396208070 | Jackson Joseph Bell | Student in an Organized Health Care Education/Training Program | Upmc Hamot, 201 State Street, Erie, PA 16550 | 2019-04-10 |
| 1346700234 | Mark Fadel | Student in an Organized Health Care Education/Training Program | 1645 W 8th St Ste 200, Erie, PA 16505-5007 | 2019-03-25 |
| 1144712084 | Kathlyn Elise Callenius | Student in an Organized Health Care Education/Training Program | 120 East Second St, 3rd Floor, Erie, PA 16507 | 2018-06-06 |
| 1023505005 | Carter Mccance Denne | Student in an Organized Health Care Education/Training Program | Upmc Hamot 201 State Street, Erie, PA 16550 | 2018-04-16 |
| 1851895858 | Ramandeep Kaur Dhaliwal | Student in an Organized Health Care Education/Training Program | 4427 Hammocks Dr Apt 301, Erie, PA 16506-7421 | 2018-03-23 |
| Find all providers in ERIE | ||||
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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.