J. LARRY BLACK MD PHD PLLC (NPI# 1326239856) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326239856 |
| Entity Type | Organization |
| Organization Name | J. LARRY BLACK MD PHD PLLC |
| Practice Address |
4364 Hwy 51 South Senatobia MS 38668-2534 |
| Practice Telephone | 6625626026 |
| Practice Fax Number | 6625628037 |
| Mailing Telephone | 6625626026 |
| Mailing Fax Number | 6625628037 |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2007-12-17 |
| Authorized Official Name | J LARRY BLACK (PRESIDENT) |
| Authorized Official Telephone | 6625626026 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD0000008543 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 09015649 | 05 |
| Street Address |
4364 HWY 51 SOUTH |
| City | SENATOBIA |
| State | MS |
| Zip Code | 38668-2534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225079825 | John Larry Black | Emergency Medicine | 4364 Hwy 51 South, Senatobia, MS 38668-2534 | 2006-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992303010 | Northwest Health and Wellness, Inc | Clinic/Center | 215 Northwest Drive, Senatobia, MS 38668 | 2020-10-12 |
| 1689218307 | Linda Fay Butler | Technician | 341 Springfield Road, Senatobia, MS 38668 | 2019-11-06 |
| 1992044754 | Lara J Hayes | Counselor | 1471 Highway 51 S, Senatobia, MS 38668 | 2013-02-13 |
| 1174653737 | William L Alford | Dentist | 26 Westwood Drive, Senatobia, MS 38668 | 2007-03-06 |
| 1265576995 | Mays Pharmacy | Durable Medical Equipment & Medical Supplies | 4385 Hwy 51 South, Senatobia, MS 38668 | 2007-02-16 |
| 1902990997 | Purnima R Purohit | Obstetrics & Gynecology | 135 Keating Rd, Senatobia, MS 38668 | 2006-10-03 |
| 1356457576 | Jason Andre Cooper | Specialist/Technologist | 214 East Main St., Senatobia, MS 38668 | 2006-08-21 |
| 1306896386 | Martha M Clinton | Nurse Practitioner | 565 N. Robinson Street, Senatobia, MS 38668 | 2006-05-11 |
| 1215490214 | Janet Giron-legarda | Case Manager/Care Coordinator | 101 Preston Mckay Dr, Senatobia, MS 38668 | 2019-04-08 |
| 1558692582 | Tate Family Dentistry, L.L.C. | Dentist | 26 Westwood Drive, Senatobia, MS 38668 | 2010-01-14 |
| Find all providers in zip 38668 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932126083 | Kamlesh Parekh | Internal Medicine | 300 E Main Street Plz, Senatobia, MS 38668-2227 | 2006-07-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275148264 | Ludmila Nahar | Internal Medicine | 18 Windwood Cv, Flowood, MS 39232-7921 | 2020-09-15 |
| 1013533637 | Ochsner Mississippi, LLC | Internal Medicine | 111 N Cleveland Ave, Long Beach, MS 39560-4713 | 2020-06-19 |
| 1215556048 | Hannah Roberts Badon | Internal Medicine | 2450 Wild Valley Dr, Jackson, MS 39211-6224 | 2020-04-12 |
| 1649809476 | Rachel Horn Mullins | Internal Medicine | 5379 Fairway St, Jackson, MS 39211-4251 | 2020-04-03 |
| 1497391288 | Ahmad Abdali Haidar Md Pa | Internal Medicine | 200 Golf Course Dr, Carriere, MS 39426-9037 | 2019-11-27 |
| 1437711991 | Amanda L Wiltshire | Internal Medicine | 1300 Sunset Dr Ste A, Grenada, MS 38901-4081 | 2019-07-05 |
| 1447812540 | Waqaar Ahmed Arshad | Internal Medicine | 3226 Kendrick Rd Apt 14, Corinth, MS 38834-9207 | 2019-06-28 |
| 1023675048 | Fitvisits LLC | Internal Medicine | 731 S Pear Orchard Rd Ste 16, Ridgeland, MS 39157-4800 | 2019-05-24 |
| 1629542832 | Internal Medicine Primary Care Pa | Internal Medicine | 140 Daughdrill Sta, Flowood, MS 39232-8406 | 2019-01-22 |
| 1003313180 | Ochsner Mississippi, LLC | Internal Medicine | 4550 Shepherd Sq, Diamondhead, MS 39525-3325 | 2018-04-06 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on J. LARRY BLACK MD PHD PLLC.
| 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.