RICHARD E BLACK


Address: 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103
Phone: 8016622950

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2086S0120X Surgery
Specialization: Pediatric Surgery
1597211205 UT Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
UT 05415 05

Other Providers RICHARD BLACK

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

Office Location

Street Address 100 MARIO CAPECCHI DR
City SALT LAKE CITY
State UT
Zip Code 84113-1103

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 2086S0120X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Pediatric Surgery

Taxonomy Definition

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.

Providers in the same taxonomy and city

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

Competitor

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City SALT LAKE CITY
Zip Code 84113

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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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