KATHERINE WARD BLACK (NPI# 1699041848) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699041848 |
| Entity Type | Individual |
| Full Name | KATHERINE WARD BLACK |
| Other Name | KATHERINE ANNE WARD |
| Credential | M.D. |
| Practice Address |
3930 Northwoods Dr Arden Hills MN 55112-6963 |
| Mailing Address |
8170 33rd Ave S # Ms 21110q Minneapolis MN 55425-4516 |
| Practice Telephone | 6515238500 |
| Practice Fax Number | 6515238584 |
| Mailing Telephone | 6515238500 |
| Mailing Fax Number | 9528538727 |
| Enumeration Date | 2012-03-31 |
| Last Update Date | 2018-04-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | 58487 | MN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881056646 | Katherine Black | Pediatrics | 10233 Doctors Office Tower 2200 Children's Way, Nashville, TN 37232 | 2016-03-22 |
| 1922631027 | Katherine Mackenzie Black | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-02-17 |
| 1700442613 | Katherine Marie Black | Occupational Therapist | 2400 Maryland Rd Ste 20, Willow Grove, PA 19090-1732 | 2019-05-15 |
| 1841750825 | Katherine Black | Student in an Organized Health Care Education/Training Program | 17 Davis Blvd Ste 308, Tampa, FL 33606-3438 | 2019-03-25 |
| 1700342540 | Katherine L Black | Social Worker | 1543 Kingsley Ave Ste 14, Orange Park, FL 32073-4570 | 2019-02-18 |
| 1053886283 | Katherine Nichole Black | Social Worker | 635 Cox Rd Ste B, Gastonia, NC 28054-3441 | 2018-10-03 |
| 1821523218 | Katherine Black | Technician, Other | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-04-24 |
| 1033315551 | Katherine A. Black | Anesthesiology | 1215 Lee St, Charlottesville, VA 22908-0001 | 2007-06-22 |
| 1801018122 | Katherine Rollins Black | Internal Medicine | 1130 Nw 22nd Ave Ste 410, Portland, OR 97210-2911 | 2007-05-03 |
| 1811014830 | Katherine Thomas Black | Social Worker | 12099 W Washington Blvd, Suite 200, Los Angeles, CA 90066-5882 | 2007-03-23 |
| Street Address |
3930 NORTHWOODS DR |
| City | ARDEN HILLS |
| State | MN |
| Zip Code | 55112-6963 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912978362 | Norma J Cheesebrow | Nurse Practitioner | 3930 Northwoods Dr, Mail Stop 32800a, Arden Hills, MN 55112-6974 | 2006-02-01 |
| 1023620994 | Taylor Chiropractic Pllc | Chiropractor | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2020-08-20 |
| 1730679325 | Nadine Yacoub | Dentist | 3930 Northwoods Dr, Arden Hills, MN 55112 | 2018-05-18 |
| 1790294874 | Jennifer Susan Fury | Nurse Practitioner | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2017-09-21 |
| 1639698194 | Kathryn Lynn Dauble | Nurse Practitioner | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2017-09-15 |
| 1366975906 | Ryan William Russell | Family Medicine | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2017-04-11 |
| 1205389624 | Calla Marie Hopeman | Registered Nurse | 3930 Northwoods Dr, Mail Stop 32800a, Arden Hills, MN 55112-6963 | 2016-08-02 |
| 1245681014 | Tswjfwm Vang | Family Medicine | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2016-06-23 |
| 1326425737 | Ashley Bishop | Family Medicine | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2015-05-05 |
| 1558763136 | Kathleen Ann Parker | Nurse Practitioner | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2014-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932729704 | Owegio Wreh | Technician | 1405 Silver Lake Road Suite 15, New Brighton, MN 55112 | 2020-04-22 |
| 1205497435 | Silver Lake Smiles Family Dentistry | Clinic/Center | 2370 Palmer Drive, New Brighton, MN 55112 | 2019-06-27 |
| 1932766169 | Matthew Thomas Hanowski | Dentist | 2442 Mounds View Boulevard, Mounds View, MN 55112 | 2019-05-22 |
| 1437619988 | Marjean Diane Leary | Registered Nurse | 338 New Brighton Road, Apt, Suite, Bldg. (optional), New Brighton, MN 55112 | 2019-03-21 |
| 1558802728 | Krishna Katira | Student in an Organized Health Care Education/Training Program | 2442 County Hwy 10, Mounds View, MN 55112 | 2017-03-20 |
| 1245781608 | Evan Fredrick Lieberman | Counselor | 1900 Silver Lake Rd, Suite 110, New Brighton, MN 55112 | 2016-10-20 |
| 1093262065 | Ryan Zinken | Nurse Practitioner | 1900 Silver Lake Road, Suite 110, New Brighton, MN 55112 | 2016-09-07 |
| 1447703228 | Alison Glodek | Social Worker | 2543 17th St Nw, New Brighton, MN 55112 | 2016-07-28 |
| 1659728194 | Ge Vang Sr. | Driver | 2160 County Road E West #205, 2160 County Road E West #205, New Brighton, MN 55112 | 2016-05-14 |
| 1114373578 | Jessica Gapinski | Specialist/Technologist | 3900 Bethel Drive, Arden Hills, MN 55112 | 2016-05-04 |
| Find all providers in zip 55112 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295879245 | Lydia Y Sahara | Dermatology | 3930 Northwoods Dr, Arden Hills, MN 55112-6963 | 2007-02-16 |
| 1649247560 | Cynthia L Vehe | Dermatology | 3930 Northwoods Dr, Mail Stop 32800a, Arden Hills, MN 55112-6963 | 2006-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962871608 | Lakes Dermatology, Pa | Dermatology | 14305 Southcross Dr W, Suite 110, Burnsville, MN 55306-7009 | 2015-09-23 |
| 1194133157 | Adam Schmitt | Dermatology | 2 Carlson Pkwy N Ste 240, Plymouth, MN 55447 | 2014-07-22 |
| 1578982773 | Lori Ann Fiessinger | Dermatology | 420 Delaware Street Se, Mmc 98, Minneapolis, MN 55455 | 2014-04-15 |
| 1942629795 | Shane O'neil | Dermatology | 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 | 2014-04-09 |
| 1033537782 | Erin Sellinger | Dermatology | 2 Carlson Pkwy N, Ste 240, Plymouth, MN 55447-4485 | 2014-03-31 |
| 1033555230 | Samuel Blake Ecker | Dermatology | 3655 Plymouth Blvd Ste 110, Minneapolis, MN 55446-3665 | 2013-05-14 |
| 1295078913 | Jessica Jane Newman | Dermatology | 4-240, Phillips-wangensteen Bldg., 516 Delaware Street S.e., Mail Code 98, Minneapolis, MN 55455 | 2013-04-01 |
| 1437416088 | Tiffany Lynn Shih | Dermatology | 401 Phalen Blvd # Ms 41102b, Saint Paul, MN 55130-5302 | 2012-04-20 |
| 1124317383 | Sara Anne Hylwa | Dermatology | 730 South 8th Street, Department of Dermatology, Minneapolis, MN 55415 | 2011-03-28 |
| 1770885360 | Thomas Joseph Kalb | Dermatology | 13420 106th St., Young America, MN 55397-5401 | 2010-12-02 |
| Find all providers with the same taxonomy | ||||
| City | ARDEN HILLS |
| Zip Code | 55112 |
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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.