DR. CLIFFORD P. BLACK JR. (NPI# 1316903396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316903396 |
| Entity Type | Individual |
| Full Name | DR. CLIFFORD P. BLACK JR. |
| Credential | M.D. |
| Practice Address |
1901 Leighton Ave Anniston AL 36207-3270 |
| Practice Telephone | 2562409660 |
| Practice Fax Number | 2562409636 |
| Mailing Telephone | 2562409660 |
| Mailing Fax Number | 2562409636 |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2017-02-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 00014219 | AL | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | BLUE CROSS BLUE SHIELD | 051044834 | 01 |
| AL | 000044834 | 05 |
| Street Address |
1901 LEIGHTON AVE |
| City | ANNISTON |
| State | AL |
| Zip Code | 36207-3270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720383615 | Lauren Marie Waltz | Physician Assistant | 1901 Leighton Ave, Anniston, AL 36207-3270 | 2011-01-24 |
| 1518195601 | Lei Liu | Surgery | 1901 Leighton Ave, Anniston General Surgery Center, Anniston, AL 36207 | 2009-06-26 |
| 1750457172 | Anniston General Surgery Center, P.C. | Surgery | 1901 Leighton Ave, Anniston, AL 36207-3270 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639785546 | Professional Edge Nursing, Inc | Military Health Care Provider | 600 Mary Lane, Anniston, AL 36207 | 2020-09-17 |
| 1285285064 | Savannah Taylor | Speech-Language Pathologist | 3331 Henry Road, Anniston, AL 36207 | 2019-09-24 |
| 1407359607 | Alabama Family Optometry One Hour Optical | Optometrist | 1900 Golden Springs Road, Anniston, AL 36207 | 2018-03-14 |
| 1598272593 | Elienna Unique Minnefield | Home Health Aide | 1400 Commerce Blvd., Suite 3, Anniston, AL 36207 | 2017-12-29 |
| 1508385154 | Tycoma Miller | Social Worker | 1332 Johnston Drive, Anniston, AL 36207 | 2017-09-14 |
| 1013439496 | Karri Anne Humphries | Behavioral Analyst | 217 Easy Street, Anniston, AL 36207 | 2017-07-07 |
| 1881136356 | Lance Mcconnell | Specialist/Technologist | 2111 Hwy78e Suite 2, Anniston, AL 36207 | 2016-11-15 |
| 1881053262 | Titilayo Adeoye-aremu | Pharmacist | 400 E 10th Street 4th Floor, Noland Health Services, Anniston, AL 36207 | 2016-02-15 |
| 1760840862 | Keyanna Peters | Counselor | 1525 Leighton Ave Ste B, Anniston, AL 36207 | 2016-02-03 |
| 1356517916 | Physicians Choice Dialysis of Calhoun County LLC | Clinic/Center | 901 Keith Avenue, Anniston, AL 36207 | 2008-05-05 |
| Find all providers in zip 36207 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184859662 | Ralph T. Brunson | Specialist | 600 Leighton Ave Ste C, Anniston, AL 36207-5744 | 2009-05-27 |
| 1083764526 | Anniston Gastroenterology Associates | Specialist | 1720 Leighton Ave, Anniston, AL 36207-3811 | 2007-01-10 |
| 1033273438 | Urologic Health of Eastern Alabama, P.C. | Specialist | 901 Leighton Ave Ste 504, Anniston, AL 36207-5704 | 2006-12-20 |
| 1396805305 | Edna A Morrison | Specialist | 409 E 10th St Ste 305, Anniston, AL 36207-4781 | 2006-12-11 |
| 1598855827 | Charles Phillip Brockwell | Specialist | 2109 Del Carmen Dr, Anniston, AL 36207-7614 | 2006-10-16 |
| 1386738045 | North Alabama Women's Center | Specialist | 721 E. 10th Street, Anniston, AL 36207-4785 | 2006-10-03 |
| 1437116456 | George I. Crawford Jr. | Specialist | 1105 Woodstock Ave, Anniston, AL 36207-4708 | 2006-04-26 |
| 1518923465 | Osita Anthony Onyekwere | Specialist | 1129 Christine Ave, Anniston, AL 36207-4657 | 2006-04-20 |
| 1770545626 | James Patrick Stewart | Specialist | 901 Leighton Avenue, Suite 501, Anniston, AL 36207-5765 | 2006-04-05 |
| 1750359030 | Terry M Phillis Jr. | Specialist | 622 Leighton Ave, Anniston, AL 36207 | 2006-03-10 |
| Find all providers in ANNISTON | ||||
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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.