THOMAS BLACK (NPI# 1508838871) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508838871 |
| Entity Type | Individual |
| Full Name | THOMAS BLACK |
| Credential | M.D. |
| Practice Address |
219 Bryant Street Buffalo NY 14222-2006 |
| Mailing Address |
1400 Sweet Home Rd Suite 5 Amherst NY 14228-2777 |
| Practice Telephone | 7168787277 |
| Practice Fax Number | 7168883966 |
| Mailing Telephone | 7169326064 |
| Mailing Fax Number | 7169326076 |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2012-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 232292 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| UNIVERA | 00026910202 | 01 | |
| NY | BLUE CROSS BLUE SHIELD | 000527733001 | 01 |
| FIDELIS | 070804000017 | 01 | |
| NY | 02577360 | 05 | |
| IHA | 1212594 | 01 | |
| BC/BS | 000527733002 | 01 | |
| NY | UNIVERA HEALTHCARE | 00026910201 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851474167 | Thomas Houston Black IIi | Family Medicine | 1145 Indianapolis Road, Greencastle, IN 46135 | 2006-10-23 |
| 1932687407 | Thomas Harrison Black | Peer Specialist | 1121 E Mcnichols Rd, Detroit, MI 48203-2857 | 2018-08-06 |
| 1619346376 | Thomas Black | Nurse Practitioner | 111 W Hobbs St, Roswell, NM 88203-1869 | 2015-09-23 |
| 1942559463 | Thomas Robert Black Jr. | Clinical Exercise Physiologist | 168 Denslow Rd, East Longmeadow, MA 01028-3188 | 2012-08-30 |
| 1265600266 | Thomas Short Black | Speech-Language Pathologist | Berkeley County Board of Education, 401 South Queen Street, Martinsburg, WV 25401 | 2008-02-13 |
| 1982808796 | Thomas Daniel Black | Emergency Medicine | 8686 New Trails Dr, # 100, The Woodlands, TX 77381-1176 | 2007-06-14 |
| 1417078122 | Thomas C Black | Nurse Practitioner | 800 Howard Ave, Yale Physicians Bldg, New Haven, CT 06519-1369 | 2007-04-02 |
| 1689691180 | Thomas C Black | Ophthalmology | 1010 Carondelet Dr, Suite 103, Kansas City, MO 64114-4821 | 2006-07-17 |
| 1427017805 | Thomas J Black | Radiology | 10000 Bay Pines Blvd, Bay Pines Vamc, Bay Pines, FL 33744 | 2006-03-22 |
| Street Address |
219 BRYANT STREET |
| City | BUFFALO |
| State | NY |
| Zip Code | 14222-2006 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114915287 | Lynne Marie Fries | Physician Assistant | 219 Bryant Street, Buffalo, NY 14222-2006 | 2005-10-12 |
| 1730619768 | Andrea Fatima D'mello | Student in an Organized Health Care Education/Training Program | 219 Bryant Street, Buffalo, NY 14222 | 2017-06-13 |
| 1285169953 | Jackelyn Lau | Student in an Organized Health Care Education/Training Program | 219 Bryant Street, Buffalo, NY 14222 | 2017-05-01 |
| 1114450335 | Zaheer Cheema | Student in an Organized Health Care Education/Training Program | 219 Bryant Street, Women and Children Hospital, Buffalo, NY 14222 | 2017-04-05 |
| 1053767780 | Traci Punturiero | Dietitian, Registered | 219 Bryant Street, Buffalo, NY 14222-2006 | 2016-05-12 |
| 1265888523 | Viveka Clare De Guerra | Student in an Organized Health Care Education/Training Program | 219 Bryant Street, Women & Children's Hospital of Buffalo, Buffalo, NY 14222 | 2016-05-05 |
| 1225415714 | Rim Elchaki | Student in an Organized Health Care Education/Training Program | 219 Bryant Street, Women & Children's Hospital of Buffalo, Buffalo, NY 14222 | 2015-05-04 |
| 1114312840 | Mallory Scogin | Student in an Organized Health Care Education/Training Program | 219 Bryant Street, Dept. of Obgyn, University At Buffalo, Buffalo, NY 14222 | 2015-03-31 |
| 1518300342 | Rabheh Abdul Aziz | Pediatrics | 219 Bryant Street, Buffalo, NY 14222-2006 | 2013-04-11 |
| 1992019558 | Natasha Gill | Student in an Organized Health Care Education/Training Program | 219 Bryant Street, Women & Children's Hospital of Buffalo, Buffalo, NY 14222 | 2010-08-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407414360 | Brittany Marie Dorsey | Registered Nurse | 770 W. Ferry St, Apt 25b, Buffalo, NY 14222 | 2019-06-04 |
| 1215495494 | Tina Colaizzo-anas | Dietitian, Registered | 214 Caudell Hall, 1300 Elmwood Avenue, Buffalo, NY 14222 | 2019-03-07 |
| 1558831560 | Nichole Virag | Doula | 195 Lexington Ave, E, Buffalo, NY 14222 | 2018-12-03 |
| 1487120234 | Lakieta L Smith | Massage Therapist | 820 Elmwood Ave, 5, Buffalo, NY 14222 | 2018-10-19 |
| 1235524646 | Ann Caughill | Registered Nurse | 257 Elmwood Ave., Room 303, Buffalo, NY 14222 | 2015-04-02 |
| 1255608535 | Vinay Sharma | Pediatrics | 239 Bryant Street, Division of Neonatology, Buffalo, NY 14222 | 2011-11-30 |
| 1558644757 | John Arthur Gillespie | Internal Medicine | 190 Bryant St., Buffalo, NY 14222 | 2011-09-23 |
| 1861773384 | Pamela Mary Sheehan-schreck | Nurse Practitioner | 239 Bryant St., 2nd Floor, Buffalo, NY 14222 | 2011-08-30 |
| 1295025286 | Jeanie Bowen Hayes | Specialist/Technologist | 90 Highland Avenue, Buffalo, NY 14222 | 2011-04-12 |
| 1649404260 | Colleen Ann Nugent | Pediatrics | 239 Bryant Str, Women and Children's Hospital of Buffalo, Buffalo, NY 14222 | 2009-05-11 |
| Find all providers in zip 14222 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053847772 | Gwenn Santoro | Pediatrics | 150 Anderson Pl, Apt 1, Buffalo, NY 14222-1804 | 2017-05-02 |
| 1811243041 | Priyanka Maridhi Nanjireddy | Pediatrics | Roswell Park/oishei Children's Cancer and Blood Disorde, 685 Elm Street, Buffalo, NY 14263 | 2012-07-25 |
| 1255608535 | Vinay Sharma | Pediatrics | 239 Bryant Street, Division of Neonatology, Buffalo, NY 14222 | 2011-11-30 |
| 1265667588 | Jeffrey J Yu | Pediatrics | 125 Hodge Ave, Buffalo, NY 14222-2035 | 2009-05-17 |
| 1922279660 | Rebecca E Pratt | Pediatrics | 936 Delaware Ave Ste 100, Buffalo, NY 14209-1861 | 2008-03-21 |
| 1336337989 | Donald F Pickhardt IIi | Pediatrics | 515 Abbott Rd Ste 304, Buffalo, NY 14220-1700 | 2007-10-09 |
| 1437201639 | Gerald Daigler | Pediatrics | 1405 Sycamore St, Buffalo, NY 14211-3337 | 2007-01-17 |
| 1134270259 | Arumugam Kuperan | Pediatrics | 805 Abbott Rd, Buffalo, NY 14220-2049 | 2007-01-15 |
| 1508885120 | Dennis Z Kuo | Pediatrics | 1050 Niagara St, Buffalo, NY 14213-2001 | 2006-07-18 |
| 1043256506 | Buffalo Pediatric Associates LLP | Pediatrics | 217 Linwood Ave, Buffalo, NY 14221 | 2006-06-22 |
| Find all providers in BUFFALO | ||||
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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.