JOSEPH M BLACK (NPI# 1578524377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578524377 |
| Entity Type | Individual |
| Full Name | JOSEPH M BLACK |
| Credential | M D |
| Practice Address |
2550 Nw Edenbower Blvd Suite 100 Roseburg OR 97471-8829 |
| Practice Telephone | 5415805328 |
| Practice Fax Number | 5417275360 |
| Mailing Telephone | 5415805328 |
| Mailing Fax Number | 5417275360 |
| Enumeration Date | 2006-03-31 |
| Last Update Date | 2015-03-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
MD20220 | OR | Allopathic & Osteopathic Physicians |
| N | 208M00000X | Hospitalist | MD20220 | OR | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OR | 151095 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083753370 | Joseph Black | Family Medicine | Perdue 20621 Savannah Rd, Georgetown, DE 19947-1499 | 2007-02-05 |
| 1083231500 | Joseph Black | Student in an Organized Health Care Education/Training Program | 330 Brookline Ave, Boston, MA 02215-5400 | 2020-06-30 |
| 1821552829 | Joseph Andrew Black | Peer Specialist | 401 5th Ave Ste 400, Seattle, WA 98104-2377 | 2019-01-24 |
| 1841609740 | Joseph S Black | Psychologist | 4 Allegheny Ctr Fl 8, Pittsburgh, PA 15212-5255 | 2014-08-05 |
| 1003189663 | Joseph W Black | Social Worker | 5005 N Piedras St, William Beaumont Army Medical Center, El Paso, TX 79920-5001 | 2012-02-13 |
| 1194005074 | Joseph Lynn Black | Pharmacist | 396 E Roosevelt Blvd, Monroe, NC 28112-4043 | 2011-08-23 |
| 1780737106 | Joseph L Black | Internal Medicine | 3303 Sw Bond Ave, Family Medicine South Waterfront Clinic, Portland, OR 97239-4501 | 2007-01-19 |
| 1124178918 | Joseph Edward Black | Psychologist | 731 E Main St, Suite 13, Jackson, OH 45640-2100 | 2007-01-12 |
| 1083798714 | Joseph T Black | Psychiatry & Neurology | 4921 Parkview Pl, Saint Louis, MO 63110-1032 | 2006-10-25 |
| 1699784769 | Joseph Black | Physician Assistant | 3311 E Murdock St, Wichita, KS 67208-3054 | 2006-08-06 |
| Street Address |
2550 NW EDENBOWER BLVD SUITE 100 |
| City | ROSEBURG |
| State | OR |
| Zip Code | 97471-8829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457643728 | Alternative Sleep Health, Inc | Durable Medical Equipment & Medical Supplies | 2550 Nw Edenbower Blvd, Suite 106, Roseburg, OR 97471-8829 | 2011-05-05 |
| 1710278239 | Ash, LLC | Durable Medical Equipment & Medical Supplies | 2550 Nw Edenbower Blvd, Suite 106, Roseburg, OR 97471-8829 | 2011-05-02 |
| 1255621199 | Advanced Sleep Health, LLC | Clinic/Center | 2550 Nw Edenbower Blvd, Suite 106, Roseburg, OR 97471-8829 | 2011-04-12 |
| 1437374469 | Sleep Health & Wellness Nw-roseburg | Durable Medical Equipment & Medical Supplies | 2550 Nw Edenbower Blvd, Suite 106, Roseburg, OR 97470-8829 | 2007-04-16 |
| 1285764928 | Arete Nw LLC | Durable Medical Equipment & Medical Supplies | 2550 Nw Edenbower Blvd, Suite 106, Roseburg, OR 97470-8829 | 2007-03-06 |
| 1285763342 | Arete Sleep Therapy Nw LLC | Durable Medical Equipment & Medical Supplies | 2550 Nw Edenbower Blvd, Suite 106, Roseburg, OR 97470-8829 | 2007-03-05 |
| 1841325362 | Arete Nw LLC | Clinic/Center | 2550 Nw Edenbower Blvd, Suite 106, Roseburg, OR 97470-8829 | 2007-02-23 |
| 1972688828 | Brad Eric Robinson | Internal Medicine | 2550 Nw Edenbower Blvd, Suite 104, Roseburg, OR 97471-8829 | 2006-10-26 |
| 1629153580 | Brad E Robinson Md PC | Internal Medicine | 2550 Nw Edenbower Blvd, Suite 104, Roseburg, OR 97471-8829 | 2006-10-26 |
| 1285733865 | Sleep Health & Wellness Nw-roseburg | Clinic/Center | 2550 Nw Edenbower Blvd, Suite 206, Roseburg, OR 97470-8829 | 2006-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841805660 | Rae Ann Barnes | Pharmacist | 913 Ne Garden Valley Blvd, Pharmacy, Roseburg, OR 97471 | 2020-09-09 |
| 1023651031 | Colton Phillips | Behavioral Analyst | 940 Nw Garden Valley Bvld #104, Roseburg, OR 97471 | 2019-10-22 |
| 1952884876 | Meredith Krugel Lcsw PC | Clinic/Center | 2225 Nw Stewart Parkway Ste 200, Roseburg, OR 97471 | 2018-09-07 |
| 1114456563 | Philip Kaser Family, LLC | Pharmacy | 1175 W. Harvard Avenue, Roseburg, OR 97471 | 2017-06-08 |
| 1053854208 | Icco LLC | Clinic/Center | 1740 Nw Goetz Street, Roseburg, OR 97471 | 2016-11-21 |
| 1770034589 | Evie Jepsen | Case Manager/Care Coordinator | 2700 Stewart Parkway Annex B, Suite 110, Roseburg, OR 97471 | 2016-10-17 |
| 1932551256 | Jonathan Schmidt | Licensed Practical Nurse | 913 Nm Garden Valley Blvd, Va Roseburg Medical Center, Roseburg, OR 97471 | 2016-07-11 |
| 1932580586 | Jeffrey Mark Wareham | Case Manager/Care Coordinator | 2700 Medical Loop, Annex B, Roseburg, OR 97471 | 2015-06-09 |
| 1558784215 | Ginger Jean Thibedeau | Massage Therapist | 3019 Nw Stewart Parkway, Suite 304 #183, Roseburg, OR 97471 | 2014-01-30 |
| 1427303122 | Karishma Parekh | Internal Medicine | 2460 Nw Stewart Pkwy Ste 103, Roseburg, OR 97471 | 2012-07-18 |
| Find all providers in zip 97471 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal 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 |
|---|---|---|---|---|
| 1871822767 | Centennial Medical Group, Inc. | Internal Medicine | 3369 Ne Stephens St Ste A, Roseburg, OR 97470-1259 | 2009-12-23 |
| 1316122708 | Gerald Engstrom | Internal Medicine | 1813 W Harvard Ave Ste 427, Roseburg, OR 97470-8712 | 2008-01-03 |
| 1841246048 | Lisa A Brandenburger | Internal Medicine | 2564 Nw Edenbower Blvd, Suite 126, Roseburg, OR 97471-8821 | 2006-05-26 |
| 1609851898 | Gerald Engstrom | Internal Medicine | 2510 Nw Edenbower Blvd Ste 112, Roseburg, OR 97471 | 2005-12-09 |
| 1891003497 | Centennial Medical Group West, LLC | Internal Medicine | 2801 Nw Mercy Dr, Suite 345, Roseburg, OR 97471-2348 | 2010-09-16 |
| 1992031793 | Dempsie B Morrison | Internal Medicine | 2510 Nw Edenbower Blvd Ste 112, Roseburg, OR 97471-8899 | 2009-10-29 |
| 1962637058 | Gi Associates, PC | Internal Medicine | 2560 Nw Medical Park Dr, Roseburg, OR 97471-5510 | 2009-05-19 |
| 1174775951 | Vikas Garg | Internal Medicine | 2510 Nw Edenbower Blvd Ste 112, Roseburg, OR 97471-8899 | 2008-10-13 |
| 1619986981 | Rodolfo B. Lorenzo | Internal Medicine | 913 Nw Garden Valley Blvd, Roseburg, OR 97470-6523 | 2006-08-05 |
| 1629037486 | Sorin Petre | Internal Medicine | 2510 Nw Edenbower Blvd Ste 112, Roseburg, OR 97471-8899 | 2006-03-21 |
| Find all providers in ROSEBURG | ||||
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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.