RICHARD E BLACK (NPI# 1316028103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1316028103 |
Entity Type | Individual |
Full Name | RICHARD E BLACK |
Credential | MD |
Practice Address |
100 Mario Capecchi Dr Salt Lake City UT 84113-1103 |
Mailing Address |
Po Box 413035 Salt Lake City UT 84141-3035 |
Practice Telephone | 8016622950 |
Mailing Telephone | 8012133900 |
Enumeration Date | 2006-10-18 |
Last Update Date | 2013-12-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
1597211205 | UT | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
UT | 05415 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184896078 | Richard C Black | Dentist | 1514 Zaragosa Rd, Ste. A-2, El Paso, TX 79936-7905 | 2008-03-31 |
1821017468 | Richard A. Black | Psychiatry & Neurology | 1445 W Main St, Newark, OH 43055-1989 | 2006-07-18 |
1528017399 | Richard L Black | Optometrist | 133 Glen Rd, Garner, NC 27529-7947 | 2006-05-09 |
1093798720 | Richard R Black | Internal Medicine | 512 E Washington St, Chagrin Falls, OH 44022-4447 | 2005-11-28 |
1669473955 | Richard Black | Internal Medicine | 340 Wood Road, Braintree, MA 02184 | 2005-08-09 |
1306311790 | Richard Black | Physical Therapist | 333 N Summit St, Toledo, OH 43604-1531 | 2018-10-11 |
1316124555 | Richard Michael Black | Dentist | 317 N El Camino Real, Suite 203, Encinitas, CA 92024-2811 | 2008-01-30 |
1548392012 | Richard F. Black | Dentist | 15 Meade St, Suite U5, Wellsboro, PA 16901-1813 | 2007-03-11 |
1487644902 | Richard A Black | Radiology | 65 Sockanosset Crossroads, Cranston, RI 02920-6068 | 2005-10-26 |
Street Address |
100 MARIO CAPECCHI DR |
City | SALT LAKE CITY |
State | UT |
Zip Code | 84113-1103 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033111810 | Andrew Gerald Smith | Legal Medicine | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2005-08-11 |
1235535485 | Ihc Health Services Inc | Clinic/Center | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2014-11-17 |
1508262833 | Aimee Brierley | Occupational Therapist | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2014-11-13 |
1801290986 | Jeffery Zobell | Pharmacist | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2014-10-17 |
1336542778 | Bevan Jensen | Pharmacist | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2014-09-30 |
1699183152 | Kristina Rogers | Dentist | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2014-07-29 |
1548677297 | Stephanie Eva Wisniewski | Speech-Language Pathologist | 100 Mario Capecchi Dr, Primary Children's Rehab, Salt Lake City, UT 84113-1103 | 2014-07-15 |
1184044877 | Adam Wesley Dell | Pediatrics | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2014-04-21 |
1225456718 | Bhanu Muniyappa | Pediatrics | 100 Mario Capecchi Dr, Pediatrics Residency Program, Salt Lake City, UT 84113-1103 | 2014-04-01 |
1265850952 | Kristina Gulliver | Pediatrics | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2014-03-31 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386111060 | Melissa Marie Dixon | Psychologist | Primary Children's Hospital Outpatient Services, 81 South Mario Capecchi Drive, Salt Lake City, UT 84113 | 2018-10-31 |
1366965618 | Ashley Stuart | Psychologist | 44 North Mario Capecchi Drive, Salt Lake City, UT 84113 | 2017-07-19 |
1487945135 | Justin C Wheeler | Pediatrics | 81 N Mario Capecchi Dr Fl 4, Salt Lake City, UT 84113 | 2011-04-29 |
1154612117 | Dana Boucek | Pediatrics | 100 North Mario Capecchi Dr., Primary Children's, Salt Lake City, UT 84113 | 2011-04-26 |
1285959502 | Anna Katherine Eyre Ermarth | Pediatrics | 81 Mario Capecchi, Salt Lake City, UT 84113 | 2010-03-30 |
1457682072 | Elizabeth K Cho | Nurse Practitioner | 100 North Mario Cappechi Dr., Salt Lake City, UT 84113 | 2010-01-21 |
1528290848 | Nancy Crandell Brown | Nurse Practitioner | 100 North Mario Cappechi Drive, Salt Lake City, UT 84113 | 2009-08-20 |
1679708481 | Primary Children's Medical Center | General Acute Care Hospital | 100 No. Mario Capecchi Drive, Salt Lake, UT 84113 | 2009-05-22 |
1467697235 | Tara Hook | Physical Therapist | 100 North Mario Capecchi Dr, Salt Lake City, UT 84113 | 2008-12-09 |
1144474768 | Jennifer K Workman | Pediatrics | 100 N Mario Capecchi Drive, Pediatric Crtical Care, Primary Children's Hospital, Salt Lake City, UT 84113 | 2008-11-10 |
Find all providers in zip 84113 |
Taxonomy Code | 2086S0120X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Pediatric Surgery |
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972620888 | Brian Thomas Bucher | Surgery | 100 N Mario Capecchi Dr Ste 2600, Salt Lake City, UT 84113-1103 | 2007-03-23 |
1790845873 | Syed Adil Husain | Surgery | 100 N Mario Capecchi Dr Ste 2200, Salt Lake City, UT 84113-1103 | 2006-12-11 |
1225119019 | Earl Courtney Downey Jr. | Surgery | 241 N Vine St Apt 906e, 906e, Salt Lake City, UT 84103-1926 | 2006-10-18 |
1740644319 | University of Utah Pediatric Services | Surgery | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-04-11 |
1205290053 | University of Utah Pediatric Services | Surgery | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-04-07 |
1144684994 | University of Utah Pediatric Services | Surgery | 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2016-04-07 |
1275790776 | Dale Gedge Johnson | Surgery | 100 N Mario Capecchi Dr, Suite 2600, Salt Lake City, UT 84113-1100 | 2008-05-21 |
1770707713 | Michael D Rollins II | Surgery | 100 N Mario Capecchi Dr, Suite 2600, Salt Lake City, UT 84113-1103 | 2007-04-12 |
1902996515 | Rebecka L Meyers | Surgery | 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | 2006-10-13 |
1902996523 | Eric Richard Scaife | Surgery | 100 N Mario Capecchi Dr, Suite 2600, Salt Lake City, UT 84113-1103 | 2006-10-13 |
Find all providers in SALT LAKE CITY |
City | SALT LAKE CITY |
Zip Code | 84113 |
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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.