WILLIAM L BLACK JR. (NPI# 1609800598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609800598 |
| Entity Type | Individual |
| Full Name | WILLIAM L BLACK JR. |
| Credential | M.D. |
| Practice Address |
1485 Chester Blvd Richmond IN 47374-1919 |
| Mailing Address |
1100 Reid Pkwy Medical Staff Services Richmond IN 47374-1157 |
| Practice Telephone | 7659665527 |
| Practice Fax Number | 7659665527 |
| Mailing Telephone | 7659665527 |
| Mailing Fax Number | 7659665528 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-11-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 01042757A | IN | Allopathic & Osteopathic Physicians |
| Y | 208000000X | Pediatrics | 01042757A | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201003480 | 05 | |
| OH | 3160510 | 05 | |
| ANTHEM BCBS (RPA) | 000000681708 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194255620 | William Black | Dentist | Room 1200 Hsc North, P.o. Box 9475, Morgantown, WV 26506 | 2017-06-18 |
| 1043628928 | William Black | Pharmacist | 343 S 500 E Apt 217, Salt Lake City, UT 84102-4024 | 2014-07-23 |
| 1275731721 | William Edward Black | Dentist | 182 East Washington Street, Chambersburg, PA 17201 | 2007-07-06 |
| 1972716314 | William Jesse Black | Counselor | 77 W 5th St, Zumbrota, MN 55992-1650 | 2007-05-08 |
| 1497878334 | William Howard Black | Internal Medicine | 7129 Duckhorn Ln, The Colony, TX 75056-5342 | 2007-04-07 |
| 1902935349 | William Edward Black | Dentist | 1612 N 2nd St, Harrisburg, PA 17102-2438 | 2007-03-03 |
| 1063591162 | William Thomas Black | Optometrist | 420 E Elm St, Caldwell, ID 83605-4846 | 2006-11-02 |
| 1326121211 | William R Black | Preventive Medicine | 1313 S Range Line Rd, Joplin, MO 64801-5588 | 2006-10-23 |
| 1467532010 | William Black | Internal Medicine | 2015 Steiner St, San Francisco, CA 94115-2627 | 2006-10-17 |
| 1043251176 | William John Black | Dentist | 2925 Elverta Rd, Antelope, CA 95843-9106 | 2006-06-09 |
| Street Address |
1485 CHESTER BLVD |
| City | RICHMOND |
| State | IN |
| Zip Code | 47374-1919 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821423401 | West N. Foster | Nurse Practitioner | 1485 Chester Blvd, Reid Pediatric & Internal Medicine, Richmond, IN 47374-1919 | 2013-09-13 |
| 1144665472 | Martin Enoc Munoz | Pediatrics | 1485 Chester Blvd, Reid Pediatric & Internal Medicine, Richmond, IN 47374-1919 | 2013-04-30 |
| 1336336882 | Pamela Michelle Rodgers | Nurse Practitioner | 1485 Chester Blvd, Reid Pediatric & Internal Medicine, Richmond, IN 47374-1919 | 2007-09-28 |
| 1871514091 | Urological Care Inc | Urology | 1485 Chester Blvd, Richmond, IN 47374-1919 | 2006-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245724566 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St., Bldg. 416, Suite A, Richmond, IN 47374 | 2018-06-20 |
| 1699274472 | Happy Hearts Home Care Corp | In Home Supportive Care | 335 Sw 17th Street, Richmond, IN 47374 | 2018-02-07 |
| 1922528504 | Erin A Chung | Internal Medicine | 1050 Reid Parkway, Suite 300, Reid Hospital Family Medicine Residency, Richmond, IN 47374 | 2017-06-23 |
| 1023538899 | Andrea Dengler | Registered Nurse | 1501 Chester Blvd., Reid Urgent Care, Richmond, IN 47374 | 2017-06-22 |
| 1497284186 | Lindsay A Worley | Nurse Practitioner | 1050 Reid Pkwy, Ste. 325, Urological Care, Richmond, IN 47374 | 2017-06-07 |
| 1689112039 | Shantil Dickerson | Physical Therapist | 22 Nw 11th St., Richmond, IN 47374 | 2017-02-06 |
| 1073058772 | Meridian Health Services Corp | Substance Abuse Rehabilitation Facility | 498 Nw 18th St Bldg 416, Richmond, IN 47374 | 2017-01-04 |
| 1538564216 | Lauren Joos | Physician Assistant | 1380 Lakeview Court, Richmond, IN 47374 | 2014-10-23 |
| 1588074421 | Emily Rutherford | Pharmacist | 2057 Chester Blvd, Richmond, IN 47374 | 2014-04-30 |
| 1922357870 | Elizabeth Ann Mullins | Social Worker | 301 South 4th St., Richmond, IN 47374 | 2012-09-06 |
| Find all providers in zip 47374 | ||||
| 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 |
|---|---|---|---|---|
| 1962002717 | Caylee Cook | Pediatrics | 9900 Independence Park Dr Ste 100, Richmond, VA 23233-1473 | 2020-10-30 |
| 1205452836 | Jenna M. Richards Do | Pediatrics | 793 Eastern Byp Ste 110, Richmond, KY 40475-2425 | 2020-06-19 |
| 1386127900 | Surehope Healthcare LLC | Pediatrics | 6102 Allendale Ridge Trl, Richmond, TX 77407-1037 | 2018-09-10 |
| 1265922314 | Bon Secours - Richmond Community Hospital, Incorporated | Pediatrics | 4744 Finlay St, Richmond, VA 23231 | 2018-05-15 |
| 1265968788 | Chari Diana Stump | Pediatrics | 2600 E Cary St Apt 1101, Richmond, VA 23223-7887 | 2017-05-03 |
| 1700311388 | Ying Chen Moyer | Pediatrics | 3121 Divine Dr, Richmond, VA 23222-4159 | 2017-04-20 |
| 1811384647 | Katherine Davila Willson Donowitz | Pediatrics | Vcuhs Dept of Pediatric Hospital Medicine, 980506, 1000 E. Broad Street, Richmond, VA 23298 | 2015-04-20 |
| 1184019861 | Jennifer An | Pediatrics | 150 Harbour Way N, Richmond, CA 94804-2426 | 2015-03-31 |
| 1326481540 | Sam Chatterton-kirchmeier | Pediatrics | 150 Harbour Way S, Richmond, CA 94804-2426 | 2013-04-08 |
| 1821338526 | Ross Mccain Brown | Pediatrics | 1500 Roberts Hill Dr, Richmond, KY 40475-7905 | 2013-02-18 |
| Find all providers in RICHMOND | ||||
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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.