JAMES D BLACK (NPI# 1649265232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649265232 |
| Entity Type | Individual |
| Full Name | JAMES D BLACK |
| Credential | DPM |
| Practice Address |
101 Rochdale Dr S Suite C Rochester Hills MI 48309-2273 |
| Practice Telephone | 2486523400 |
| Practice Fax Number | 2486523401 |
| Mailing Telephone | 2486523400 |
| Mailing Fax Number | 2486523401 |
| Enumeration Date | 2005-09-20 |
| Last Update Date | 2012-05-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | JB001105 | MI | Podiatric Medicine & Surgery Service Providers |
| N | 332B00000X | Durable Medical Equipment & Medical Supplies | JB001105 | MI | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| BLUE CROSS BLUE SHIELD MICHIGAN | 485635035 | 01 | |
| MI | PTAN | 5635035 | 01 |
| FEDERAL ID | 382583434 | 01 | |
| MI | 1626185 | 05 | |
| MI | DME - SUPPLIES, EQUIPMENT | 0731430001 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043452741 | James Clinton Black | Orthopaedic Surgery | 480 Floyd Rd Ste A, Spartanburg, SC 29307-1518 | 2009-03-27 |
| 1053558684 | James Black | Physical Therapy Assistant | 213 California Ct, Mission Viejo, CA 92692-4082 | 2009-01-20 |
| 1225234487 | James Lewis Black Jr. | Pharmacist | 2001 Crystal Spring Ave, Carilion Medical Center Phcy, Suite 110, Roanoke, VA 24014 | 2007-06-25 |
| 1790803674 | James C. Black | Psychologist | 815 W Hamlet Ave, Hamlet, NC 28345-2507 | 2007-03-27 |
| 1114088341 | James Henry Black | Psychologist | 310 N Midvale Blvd, Suite 202, Madison, WI 53705-3265 | 2006-12-12 |
| 1114095346 | James N Black | Internal Medicine | 520 Craig Ln, Villanova, PA 19085-1902 | 2006-12-04 |
| 1033297320 | James Joseph Black | Psychologist | 227 N 18th St, Philadelphia, PA 19103-1212 | 2006-11-02 |
| 1679662795 | James Dennis Black | Dentist | 1044 12th St, Tell City, IN 47586-1606 | 2006-10-12 |
| 1821000191 | James Black | Specialist | 22930 Crenshaw Blvd Ste D, Torrance, CA 90505-3048 | 2006-08-13 |
| 1073547170 | James Edward Black | Dentist | 250 East Wentworth Avenue, West St Paul, MN 55118-3525 | 2006-07-11 |
| Street Address |
101 ROCHDALE DR S SUITE C |
| City | ROCHESTER HILLS |
| State | MI |
| Zip Code | 48309-2273 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801017165 | Doctors for Kids, Plc | Specialist | 101 Rochdale Dr S, Ste B, Rochester Hills, MI 48309-2273 | 2007-05-02 |
| 1841362506 | Ami K Mavani | Specialist | 101 Rochdale Dr S, Ste B, Rochester Hills, MI 48309-2273 | 2006-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255874541 | Tracy Rutherford | Licensed Practical Nurse | 1613 Star Beit Drive, Rochester Hills, MI 48309 | 2016-11-18 |
| 1679016901 | Christian Ojimadu | Registered Nurse | 1613 Star-batt Drive, Rochester Hills, MI 48309 | 2016-11-18 |
| 1841749173 | Julian Alexander Prosser | Social Worker | 1800 Star Batt Drive, Rochester Hills, MI 48309 | 2016-09-28 |
| 1821472861 | Oakland University | Orthopaedic Surgery | 201 Athletics Ctr, Rochester, MI 48309 | 2015-07-18 |
| 1831438704 | Deborah Marie Tierney | Nurse Practitioner | 2200 Squirrel Road Human Health Building, Oakland University School of Nursing Room 2038, Rochester, MI 48309 | 2013-02-12 |
| 1396021242 | Karen Renee Farrar | Social Worker | 1344 Chestnut Cir, Rochester Hills, MI 48309 | 2011-10-24 |
| 1083922389 | Michigan V & P Management, LLC | Specialist | 1886 W. Auburn #300, Rochester Hills, MI 48309 | 2010-09-21 |
| 1689894032 | Steven L. Lipton Dds, PC | Dentist | 111 Rochdale Dr, Rochester Hills, MI 48309 | 2007-04-26 |
| 1083735773 | Jennifer R Haener | Family Medicine | 2940 Crooks Road, Rochester Hills, MI 48309 | 2007-04-02 |
| 1215079645 | Eva Colleen Frances Mondor | Counselor | 155 Rochdale Dr. S, Suite B, Rochester Hills, MI 48309 | 2007-02-13 |
| Find all providers in zip 48309 | ||||
| Taxonomy Code | 213E00000X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700197803 | Rachel A. Samsel-militello | Podiatrist | 101 Rochdale Dr S Ste C, Rochester Hills, MI 48309-2273 | 2010-06-23 |
| 1295737096 | Robert Howard Cornfield | Podiatrist | 6700n Rochester Rd 112, Rochester Hills, MI 48306-4378 | 2005-08-11 |
| 1942512710 | Podcare PC | Podiatrist | 1701 South Blvd E, Rochester Hills, MI 48307-6122 | 2010-07-09 |
| 1649353012 | Oakland Medical Group PC | Podiatrist | 3950 S Rochester Rd, 1200, Rochester Hills, MI 48307-5160 | 2006-10-22 |
| 1700860087 | Marie Delewsky | Podiatrist | 3950 S Rochester Rd, Suite 1200, Rochester Hills, MI 48307-5160 | 2005-12-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679185227 | Richard S Klimecki Dpm | Podiatrist | 30205 Schoenherr Rd Ste A, Warren, MI 48088-6800 | 2020-08-17 |
| 1063037075 | Vikrant Wadehra | Podiatrist | 27629 Chatsworth St, Farmington Hills, MI 48334-1821 | 2020-06-15 |
| 1255963401 | Metrocare Visiting Physicians Pllc | Podiatrist | 5700 Crooks Rd Ste 108, Troy, MI 48098-2818 | 2020-02-06 |
| 1053887869 | Canton Podiatry Pllc | Podiatrist | 42017 Ford Rd, Canton, MI 48187-3669 | 2018-10-18 |
| 1760961577 | Premier Foot & Ankle II Pllc | Podiatrist | 5777 W Maple Rd Ste 170, West Bloomfield, MI 48322-4448 | 2018-08-13 |
| 1609379395 | Nomad Podiatry Pllc | Podiatrist | 28230 S Pointe Ln, New Baltimore, MI 48051-2347 | 2018-03-09 |
| 1861993685 | Steven J. Repitor | Podiatrist | 8244 Metro Pkwy # C, Sterling Heights, MI 48312-2778 | 2018-02-27 |
| 1588179584 | Sheryl Bentzley Dpm PC | Podiatrist | 967 Brooklawn Dr, Troy, MI 48084-2659 | 2017-12-12 |
| 1598287914 | Fadee Ramzi Kakos | Podiatrist | 15830 Fort St Ste 8, Southgate, MI 48195-1348 | 2017-07-07 |
| 1104347178 | Benjamin Hartger | Podiatrist | 600 Park Ave Ste 3, Grand Haven, MI 49417-2173 | 2017-06-29 |
| Find all providers with the same taxonomy | ||||
| City | ROCHESTER HILLS |
| Zip Code | 48309 |
Please comment or provide details below to improve the information on JAMES D BLACK.
| 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.