GARY CHASE BLACK (NPI# 1700149648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1700149648 |
Entity Type | Individual |
Full Name | GARY CHASE BLACK |
Credential | M.D. |
Practice Address |
9400 Rhea County Hwy Dayton TN 37321 |
Mailing Address |
167 Ashley Ave Suite 301, Msc 912 Charleston SC 29425-9120 |
Practice Telephone | 4232855220 |
Practice Fax Number | 4232855506 |
Mailing Telephone | 8437920192 |
Mailing Fax Number | 8437929314 |
Enumeration Date | 2012-06-15 |
Last Update Date | 2018-06-01 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207L00000X | Anesthesiology | LL34886 | SC | Allopathic & Osteopathic Physicians |
Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
55829 | TN | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TN | MEDICARE PTAN | T00148A | 01 |
TN | Q029957 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548366016 | Gary Black | Chiropractor | 8786 Goodwood Blvd Ste 101, Baton Rouge, LA 70806-7917 | 2006-09-15 |
1427452572 | Gary Edward Black | Massage Therapist | 205 Clark Pl Se, Tumwater, WA 98501-4062 | 2014-10-17 |
Street Address |
9400 RHEA COUNTY HWY |
City | DAYTON |
State | TN |
Zip Code | 37321 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811987084 | Rhea Medical Center | General Acute Care Hospital | 9400 Rhea County Hwy, Dayton, TN 37321-7922 | 2005-10-27 |
1336778406 | Justin Gorsline | Nurse Practitioner | 9400 Rhea County Hwy, Dayton, TN 37321-7922 | 2020-04-02 |
1548513278 | Watson Anesthesia Group Pllc | Nurse Anesthetist, Certified Registered | 9400 Rhea County Hwy, Dayton, TN 37321-7922 | 2012-10-18 |
1154407427 | Edmund Lane | Emergency Medicine | 9400 Rhea County Hwy, Dayton, TN 37321-7922 | 2006-10-31 |
1427146919 | Rhea Medical Center | Medicare Defined Swing Bed Unit | 9400 Rhea County Hwy, Dayton, TN 37321-7922 | 2006-10-10 |
1942225370 | James W Sego | Emergency Medicine | 9400 Rhea County Hwy, Dayton, TN 37321-7922 | 2006-07-13 |
1225067861 | Jeffery Alan Jones | Physician Assistant | 9400 Rhea County Hwy, Dayton, TN 37321-7922 | 2006-07-03 |
1699705012 | Robert W Harrison | Physician Assistant | 9400 Rhea County Hwy, Dayton, TN 37321-7922 | 2006-07-03 |
1851321285 | Karen Letha Whittaker | Emergency Medicine | 9400 Rhea County Hwy, Dayton, TN 37321-7922 | 2006-07-03 |
1063458479 | Algianon Moses Jeffero | Emergency Medicine | 9400 Rhea County Hwy, Dayton, TN 37321-7922 | 2006-06-22 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730745019 | Nicole J. Kammeyer, O.d. | Optometrist | 1286 Market Street, Dayton, TN 37321 | 2019-05-13 |
1124508429 | L M Smith Center for Dental Health | Dentist | 180 Walnut Grove Road, Dayton, TN 37321 | 2018-08-16 |
1750813986 | Jared Arthur | Counselor | 1365b Maley Hollow Rd, Dayton, TN 37321 | 2017-03-28 |
1386193068 | Richland Creek Dental LLC | Dentist | 1272 Market St, Dayton, TN 37321 | 2016-09-23 |
1427505999 | Sport & Spine | Physical Therapist | 445 Chicamagua Drive, Suite 101, Dayton, TN 37321 | 2016-09-01 |
1104175025 | Stephanie Ann Sharp | Chore Provider | 701 Belmont Farms Road, Dayton, TN 37321 | 2012-09-06 |
1841438579 | Voytik Center for Orthopedic Care, PC | Physician Assistant | 164 Walnut Grove Church Rd, Dayton, TN 37321 | 2009-02-03 |
1558581140 | James Morgan Freuler | Physician Assistant | 149 Walnut Grove Church Road, Dayton, TN 37321 | 2007-04-26 |
1215004908 | Margaret Ruth Ulrich | Audiologist-Hearing Aid Fitter | 211 Dayton Mtn Hwy, Dayton, TN 37321 | 2006-11-29 |
1053490417 | Craig Steven Swafford | Surgery | 9390 Rhea County Highway, Dayton, TN 37321 | 2006-11-04 |
Find all providers in zip 37321 |
Taxonomy Code | 207LP2900X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Anesthesiology |
Specialization | Pain Medicine |
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356341911 | Laila Ibrahim Gomaa | Anesthesiology | 8120 Garnet Dr, Dayton, OH 45458-2141 | 2005-07-26 |
1922375179 | Dayton Regional Pain Management, LLC | Anesthesiology | 1 Wyoming St, Dayton, OH 45409-2722 | 2011-11-16 |
1063641272 | Dayton Pain Center LLC | Anesthesiology | 9000 N Main St, Dayton, OH 45415-1180 | 2009-07-09 |
1124298443 | Prime Health Medical Services | Anesthesiology | 8120 Garnet Dr, Dayton, OH 45458-2141 | 2008-03-03 |
1316135585 | Amol Soin | Anesthesiology | 7076 Corporate Way, Suite 201, Dayton, OH 45459-4281 | 2007-10-11 |
1902097280 | Dayton Osteopathic Hospital | Anesthesiology | 405 W Grand Ave, Dayton, OH 45405-4720 | 2007-08-05 |
1356414957 | Mervet K Saleh | Anesthesiology | 1235 E Alex Bell Rd, Dayton, OH 45459-2658 | 2006-11-15 |
1164594834 | Ohio Institute for Comprehensive Pain Management, Inc. | Anesthesiology | 1235 E Alex Bell Rd, Dayton, OH 45459-2658 | 2006-11-15 |
1154404440 | Townsend Smith IIi | Anesthesiology | 1 Wyoming St, Dayton, OH 45409-2722 | 2006-10-23 |
1396835286 | Anjana Kundu | Anesthesiology | One Children's Plaza, Children's Anesthesia Group, Inc., Dayton, OH 45404-1815 | 2006-10-13 |
Find all providers in DAYTON |
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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.