WILEY S BLACK (NPI# 1386821007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386821007 |
| Entity Type | Individual |
| Full Name | WILEY S BLACK |
| Credential | MD |
| Practice Address |
2626 Parker Trl Gainesville GA 30506-1800 |
| Practice Telephone | 7705328608 |
| Practice Fax Number | 7707181964 |
| Mailing Telephone | 7705328608 |
| Mailing Fax Number | 7707181964 |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2008-01-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | 009767 | GA | Allopathic & Osteopathic Physicians |
| Street Address |
2626 PARKER TRL |
| City | GAINESVILLE |
| State | GA |
| Zip Code | 30506-1800 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598325599 | Ride With Us Medical Transport LLC | Non-emergency Medical Transport (VAN) | 3877 C. Rogers Rd, Gainesville, GA 30506 | 2019-06-20 |
| 1437678950 | Thomas William Stewart Jr. | Pathology | 3138 Marthasville Court, Gainesville, GA 30506 | 2017-09-15 |
| 1629353461 | Finding Faith Inc | Physical Therapist | 7985 Knight Road, Suite B, Gainesville, GA 30506 | 2011-10-12 |
| 1992961296 | Georgia Cvs Pharmacy L.L.C. | Durable Medical Equipment & Medical Supplies | 3709 Thompson Bridge Rd., Gainesville, GA 30506 | 2008-08-06 |
| 1477754067 | Black's Pediatric Therapy, Inc. | Occupational Therapist | 4502 Summer Gate Ct., Gainesville, GA 30506 | 2007-05-30 |
| 1962535377 | Kim Kerrick | Physical Therapist | Lanier Village Estates, Misty Morning Way, Gainesville, GA 30506 | 2007-03-14 |
| 1942339098 | Lorie Miller Stevens | Dentist | 5129 Cleveland Hwy, Gainesville, GA 30506 | 2007-03-05 |
| 1972544963 | Christie L Woodruff | Nurse Practitioner | 4371 Clarks Bridge Road, Gainesville, GA 30506 | 2006-06-09 |
| 1336113919 | Alison K Zavodny | Internal Medicine | 4875 Perry Rd, Gainesville, GA 30506 | 2006-02-13 |
| 1497739429 | Anga-lee Morgan Tipton | Nurse Practitioner | 4000 Village View Drive, Gainesville, GA 30506 | 2005-12-02 |
| Find all providers in zip 30506 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841752664 | Total Wellness and Bariatrics, P.a. | Surgery | 336 N Grand Ave, Gainesville, TX 76240-4322 | 2019-04-01 |
| 1134546542 | Thoracic and Vascular Surgeons of Gainesville, P.a. | Surgery | 1151 Nw 64th Ter, Gainesville, FL 32605-4218 | 2014-03-24 |
| 1487915526 | Tyler John Loftus | Surgery | Shands At The University of Florida, 1600 Sw Archer Road, Gainesville, FL 32610-0001 | 2012-06-05 |
| 1821359589 | Ming-jim Yang | Surgery | University of Florida Department of Surgery, Gainesville, FL 32610-0287 | 2012-05-30 |
| 1023303609 | Kimberly Chou | Surgery | 2000 Sw 16th St Apt 9, Gainesville, FL 32608-1437 | 2011-06-13 |
| 1265750566 | Erin Vanzant | Surgery | 1600 Sw Archer Rd # 100108, Gainesville, FL 32610 | 2010-05-11 |
| 1447410949 | Michael Hart Lebow | Surgery | 1075 B Jessel Jewell Pkwy, Gainesville, GA 30501 | 2008-06-10 |
| 1023276037 | Richard Bradley Nesmith | Surgery | 6801 Nw 9th Blvd Ste 2, Gainesville, FL 32605-4263 | 2008-05-27 |
| 1700075553 | 2k Medical LLC | Surgery | 9618 Sw 34th Ln, Gainesville, FL 32608-8662 | 2007-10-17 |
| 1033308150 | Thomas Gregory Delong | Surgery | 1387 Springdale Rd, Gainesville, GA 30501-2447 | 2007-10-16 |
| Find all providers in GAINESVILLE | ||||
| City | GAINESVILLE |
| Zip Code | 30506 |
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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.