VICTORIA BLACK HORSE (NPI# 1487186177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487186177 |
| Entity Type | Individual |
| Full Name | VICTORIA BLACK HORSE |
| Credential | M.D. |
| Practice Address |
2671 Ne 46th St Seattle WA 98105-5041 |
| Practice Telephone | 2065258000 |
| Mailing Telephone | 2065258000 |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2020-08-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | MD61056392 | WA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | OR | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1200 Nw 23rd Ave, Legacy Clinic Good Samaritan, Portland, OR 972102906 | 5034137074 | 5034136892 |
| Street Address |
2671 NE 46TH ST |
| City | SEATTLE |
| State | WA |
| Zip Code | 98105-5041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841291317 | Michael S Dudas | Pediatrics | 2671 Ne 46th St, Seattle, WA 98105-5041 | 2005-08-09 |
| 1437632072 | Kate Kapner | Nurse Practitioner | 2671 Ne 46th St, Seattle, WA 98105-5041 | 2018-09-10 |
| 1689120271 | Alyssa Erickson-wayman | Nurse Practitioner | 2671 Ne 46th St, Seattle, WA 98105 | 2016-09-01 |
| 1811308893 | Marnonette J Marallag | Family Medicine | 2671 Ne 46th St, Seattle, WA 98105-5041 | 2014-05-13 |
| 1023436060 | Elizabeth Cochrane | Pediatrics | 2671 Ne 46th St, Seattle, WA 98105-5041 | 2014-04-05 |
| 1578902094 | Virginia Mason Medical Center | Durable Medical Equipment & Medical Supplies | 2671 Ne 46th St, Seattle, WA 98105 | 2013-06-18 |
| 1457797961 | Amanda Sarah Freed | Internal Medicine | 2671 Ne 46th St, Seattle, WA 98105-5041 | 2013-05-13 |
| 1447507462 | Angela M Black | Nurse Practitioner | 2671 Ne 46th St, Seattle, WA 98105 | 2012-08-09 |
| 1447519681 | Heather Christine Gupta | Pediatrics | 2671 Ne 46th St, Seattle, WA 98105-5041 | 2012-05-09 |
| 1467745331 | Alejandro Jose Candelario | Pediatrics | 2671 Ne 46th St, Seattle, WA 98105-5041 | 2011-05-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326662396 | Dale Justin Podolsky | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 | 2020-06-04 |
| 1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
| 1427688845 | Daniela Michell Zepeda | Behavioral Analyst | 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 | 2020-01-24 |
| 1255981189 | Emily King | Student in an Organized Health Care Education/Training Program | Mark Hawkins, Pa-c, Mpas, 4311 11th Ave Ne Suite 200, WA 98105 | 2019-09-12 |
| 1821659327 | Sara Katherine Horne | Student in an Organized Health Care Education/Training Program | 4800 Sand Point Way Ne, Mb.11.500, Department of Anesthesiology and Pain Medicine, Seattle, Seattle, WA 98105 | 2019-06-25 |
| 1881252575 | Darryl Lee Wright | Peer Specialist | Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 | 2019-05-29 |
| 1487117891 | Nirupama Madhavan | Behavioral Analyst | 5001 25th Ave Ne, Seattle, WA 98105 | 2019-04-11 |
| 1780155648 | Eryn R Mcentee | Naturopath | 2216 Ne46th St, Seattle, WA 98105 | 2018-12-17 |
| 1356811921 | Kyle Leland Bernbach | Massage Therapist | 5224 Ravenna Ave Ne, Seattle, WA 98105 | 2018-11-27 |
| 1548742380 | Janal Kim | Physician Assistant | 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 | 2018-08-29 |
| Find all providers in zip 98105 | ||||
| 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 |
|---|---|---|---|---|
| 1659987485 | David James Sanders | Internal Medicine | 1100 Ninth Avenue: Attention David Sanders, G2-pmr, Seattle, WA 98101 | 2020-09-17 |
| 1710590179 | Direct Urgent Care Inc | Internal Medicine | 220 6th Avenue North, Seattle, WA 98109 | 2020-08-26 |
| 1194372896 | Dunia Health Clinic LLC | Internal Medicine | 11625 Rainier Ave S Ste 102, Seattle, WA 98178-3983 | 2019-08-19 |
| 1558928531 | Donn J Colby | Internal Medicine | 318 17th Ave E, Seattle, WA 98112-5107 | 2019-05-24 |
| 1922585736 | Summit Consulting for Post Acute Care LLC | Internal Medicine | 1170 Alki Ave Sw Apt 301, Seattle, WA 98116-4828 | 2018-07-24 |
| 1619401668 | Chipo Natasha Kwendakwema | Internal Medicine | 1959 Ne Pacific St Rm Bb527, Box 356421, Seattle, WA 98195-6421 | 2017-04-17 |
| 1477084804 | Andrew Gene Kim | Internal Medicine | 1959 Ne Pacific Street, Radiology Department Rr210, University of Washington, Seattle, WA 98195 | 2017-03-27 |
| 1851831838 | Allofor Inc. | Internal Medicine | 5608 17th Ave Nw Ste 537, Seattle, WA 98107-5232 | 2017-02-24 |
| 1558817791 | Frankenfeld Home Visits Mht LLC | Internal Medicine | 4816 Aurora Avenue N, Seattle, WA 98103 | 2016-08-28 |
| 1093268542 | Hansen Mht LLC | Internal Medicine | 4816 Aurora Ave N, Seattle, WA 98103-6518 | 2016-08-02 |
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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.