DEBORAH L BLACK (NPI# 1689744674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689744674 |
| Entity Type | Individual |
| Full Name | DEBORAH L BLACK |
| Other Name | DEBORAH L ABBOTT |
| Credential | PA-C |
| Practice Address |
2016 W 16th St Safford AZ 85546-4026 |
| Practice Telephone | 9284281377 |
| Practice Fax Number | 9283488570 |
| Mailing Telephone | 9284281377 |
| Mailing Fax Number | 9283488570 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
2394 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 636631 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366803389 | Deborah H Black | Counselor | 930 W Historic Mitchell St, Milwaukee, WI 53204-3533 | 2016-03-18 |
| 1124313887 | Deborah M Black | Nurse Practitioner | 4755 Ogletown Stanton Rd, Christiana Hospital, Suite 1e1070, Newark, DE 19718-0001 | 2011-06-10 |
| 1780820332 | Deborah Sinclair Black | Nurse Practitioner | 2356 S 102nd St, Milwaukee, WI 53227-2104 | 2009-01-05 |
| 1598969297 | Deborah Black | Advanced Practice Midwife | 5 Washington Pl, Dartmouth Hitchcock - Ob/gyn, Bedford, NH 03110-6736 | 2007-06-14 |
| 1770622896 | Deborah Naomi Black | Psychiatry & Neurology | 130 Fisher Rd, Mob-a Suite 1, Berlin, VT 05602-9516 | 2007-02-05 |
| 1508903832 | Deborah Dianne Black | Counselor | 1909 Commerce Ave, Cullman, AL 35055-6151 | 2007-01-30 |
| 1285641845 | Deborah Black | Emergency Medicine | 24 Hospital Ave, Danbury, CT 06810-6099 | 2006-08-03 |
| Street Address |
2016 W 16TH ST |
| City | SAFFORD |
| State | AZ |
| Zip Code | 85546-4026 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467438572 | John P Nestor | Family Medicine | 2016 W 16th St, Safford Community Health Center, Safford, AZ 85546-4026 | 2005-12-20 |
| 1487277836 | Luke Mark Walton | Physician Assistant | 2016 W 16th St, Safford, AZ 85546-4026 | 2020-05-20 |
| 1518588763 | Jennifer Lea Fine-hardesty | Nurse Practitioner | 2016 W 16th St, Safford, AZ 85546-4026 | 2020-04-29 |
| 1053899062 | Karen Lynn Moskal | Nurse Practitioner | 2016 W 16th St, Safford, AZ 85546-4026 | 2018-08-01 |
| 1942684253 | Roberta Boon | Registered Nurse | 2016 W 16th St, Safford, AZ 85546-4026 | 2015-07-16 |
| 1770990285 | Maria Guadalupe Rivera | Dentist | 2016 W 16th St, Safford, AZ 85546-4026 | 2014-07-16 |
| 1073925319 | Matthew Marshall | Nurse Practitioner | 2016 W 16th St, Safford, AZ 85546-4026 | 2014-05-21 |
| 1417262247 | Benjamin Lorenzo Gardea Jr. | Dentist | 2016 W 16th St, Safford, AZ 85546-4026 | 2010-08-17 |
| 1982873295 | John K Wenham | General Practice | 2016 W 16th St, Safford, AZ 85546-4026 | 2008-02-21 |
| 1710161310 | Joann Draper | Nurse Practitioner | 2016 W 16th St, Safford, AZ 85546-4026 | 2007-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449628 | The Pain Institute of Southern Arizona PC | Anesthesiology | 2241 W 16th Street, Safford, AZ 85546 | 2020-05-19 |
| 1114490836 | Ponderosa Aviation, Inc | Ambulance | 4500 Aviation Way, Safford, AZ 85546 | 2019-01-04 |
| 1053828160 | Easter Seals Blake Foundation | Community/Behavioral Health | 618 South Central Avenue, Safford, AZ 85546 | 2018-01-10 |
| 1508238700 | Southeastern Arizona Consumer-run Services | Clinic/Center | 628 Main St., Safford, AZ 85546 | 2015-10-27 |
| 1457774465 | Caring Connections for Special Needs, LLC | Community/Behavioral Health | 1952 W Thatcher Blvd, Safford, AZ 85546 | 2014-01-27 |
| 1841634060 | Rs5 Investments LLC | Family Medicine | 1515 S. 20th Ave, Safford, AZ 85546 | 2013-04-18 |
| 1689946162 | South Eastern Arizona Behavioral Health Services, Inc. | Clinic/Center | 1609 S. 1st Ave, Safford, AZ 85546 | 2012-01-31 |
| 1669741435 | Southeastern Arizona Behavioral Health Services, Inc | Clinic/Center | 1609 S 1st Ave, Safford, AZ 85546 | 2011-12-22 |
| 1912295106 | Canyonlands | Clinic/Center | 618 S. Central Avenue, Safford, AZ 85546 | 2011-07-21 |
| 1255669354 | Dovetree Counseling Associates, Inc. | Community/Behavioral Health | 1906 Thatcher Blvd, Safford, AZ 85546 | 2009-12-01 |
| Find all providers in zip 85546 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598227654 | Garrett Commodore Hunter | Physician Assistant | 1680 S 20th Ave, Safford, AZ 85546-4011 | 2019-04-05 |
| 1992108070 | Joshua Lawrence Benson | Physician Assistant | 1680 S 20th Ave, Safford, AZ 85546-4011 | 2014-10-02 |
| 1497024335 | Samuel Crandell | Physician Assistant | 1300 S 20th Ave, Safford, AZ 85546-3301 | 2011-12-21 |
| 1386878486 | Toby Marshall Underwood | Physician Assistant | 896 S Cook Rd, Safford, AZ 85546-7526 | 2009-05-05 |
| 1306033386 | Michael Evans | Physician Assistant | 2016 W 16th St, Safford, AZ 85546-4026 | 2007-10-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053928374 | Michael James Porter | Physician Assistant | 20003 N 77th Dr, Glendale, AZ 85308-8339 | 2020-09-30 |
| 1073121505 | Alexandra R Koolmees | Physician Assistant | 1141 E Village Circle Dr S, Phoenix, AZ 85022-4818 | 2020-07-21 |
| 1194343897 | Alyssa Kay Poland | Physician Assistant | 10006 W Los Gatos Dr, Peoria, AZ 85383-3343 | 2020-07-08 |
| 1568080620 | Manuel Gerardo Pompa | Physician Assistant | 3848 N 3rd Ave Unit 3071, Phoenix, AZ 85013-3472 | 2020-07-06 |
| 1932748233 | Hayley Klotz | Physician Assistant | 440 N Navajo Dr, Page, AZ 86040-0950 | 2020-01-03 |
| 1285273987 | Jaclyn Marie Schroeder | Physician Assistant | 7649 E Pinnacle Peak Rd Ste 100, Scottsdale, AZ 85255-6296 | 2019-12-27 |
| 1396388062 | Morgan Taylor Beckwith | Physician Assistant | 2128 Senita Dr, Lake Havasu City, AZ 86403-5756 | 2019-10-24 |
| 1023667623 | Halie Furrier | Physician Assistant | 5345 E Gleneagles Dr, Tucson, AZ 85718-1803 | 2019-09-05 |
| 1871155143 | Terry Craven Wood | Physician Assistant | 7645 W Donald Dr, Peoria, AZ 85383-3142 | 2019-07-08 |
| 1720548753 | Alexis D Elliott | Physician Assistant | 2350 Miracle Mile # 600a, Bullhead City, AZ 86442-7505 | 2019-03-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on DEBORAH L 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.