MISS COURTNEY LEIGH BLACK (NPI# 1710410592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710410592 |
| Entity Type | Individual |
| Full Name | MISS COURTNEY LEIGH BLACK |
| Credential | M.D. |
| Practice Address |
1 Burdick Expy W Minot ND 58701-4406 |
| Mailing Address |
Po Box 5010 Minot ND 58702-5010 |
| Practice Telephone | 7018575000 |
| Mailing Telephone | 7018575118 |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2020-09-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208M00000X | Hospitalist | 16700 | ND | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 701 Park Ave, Hcmc-family Medicine, Minneapolis, MN 554151623 | 6128738085 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588914469 | Courtney Deanna Black | Nurse Practitioner | 1800 N Britain Rd, Irving, TX 75061-2630 | 2012-09-18 |
| 1528341690 | Courtney Renee Black | Pharmacist | 710 N West St, Wichita, KS 67203-1213 | 2011-09-24 |
| Street Address |
1 BURDICK EXPY W |
| City | MINOT |
| State | ND |
| Zip Code | 58701-4406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558346882 | Brian Tin-maung | Anesthesiology | 1 Burdick Expy W, Minot, ND 58701-4406 | 2005-12-09 |
| 1972117927 | Rachel Schaan | Pharmacist | 1 Burdick Expy W, Minot, ND 58701-4406 | 2020-09-06 |
| 1184237471 | Michael Donald Peterson | Pharmacist | 1 Burdick Expy W, Minot, ND 58701-4406 | 2020-08-26 |
| 1760005391 | Kennedi Marie Kautzman | Occupational Therapist | 1 Burdick Expy W, Minot, ND 58701-4406 | 2020-05-18 |
| 1417593781 | Alicia Brianne Paulson | Occupational Therapist | 1 Burdick Expy W, Minot, ND 58701-4406 | 2019-11-21 |
| 1558914267 | Keeley Walker | Nurse Anesthetist, Certified Registered | 1 Burdick Expy W, Minot, ND 58701-4406 | 2019-07-22 |
| 1073171864 | Alicia Flesner | Nurse Practitioner | 1 Burdick Expy W, Minot, ND 58701-4406 | 2019-06-05 |
| 1629636204 | Trinity Health | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1 Burdick Expy W, Minot, ND 58701-4406 | 2019-05-30 |
| 1649764770 | Dwight Remington | Nurse Practitioner | 1 Burdick Expy W, Minot, ND 58701-4406 | 2018-06-21 |
| 1104334564 | Tessa M Hartmann | Nurse Anesthetist, Certified Registered | 1 Burdick Expy W, Minot, ND 58701-4406 | 2018-01-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538767926 | Minot Commission On Aging, Inc | In Home Supportive Care | 21 1st Avenue Se, Minot, ND 58701 | 2020-10-16 |
| 1780207647 | Growing Together Inc | Counselor | 515 19 Ave Sw, Minot, ND 58701 | 2020-05-26 |
| 1144867847 | Sarah Howard | Registered Nurse | 1015 South Broadway, Ste. 2, Minot, ND 58701 | 2019-12-02 |
| 1962973453 | Julia Irene Lakoduk | Speech-Language Pathologist | Bell Elementary, 5901 Us-52, Minot, ND 58701 | 2018-12-10 |
| 1073000469 | Goodman Addiction Services | Counselor | 1809 South Broadway Suite S., Minot, ND 58701 | 2018-04-20 |
| 1811405988 | Mackenzie J Jones Pllc | Chiropractor | 1407 S Broadway Ste 123, Minot, ND 58701 | 2018-01-11 |
| 1265957617 | Cassandra Czerwonka | Behavioral Analyst | 1408 20th Ave Sw, Suite 7, Minot, ND 58701 | 2017-08-07 |
| 1689197493 | Rem North Dakota | Intermediate Care Facility, Mentally Retarded | 1905 2nd Street Se, Suite 1a, Minot, ND 58701 | 2017-07-24 |
| 1558890236 | Timothy J Corrigan | Chiropractor | 1418 S Broadway Ste C, Minot, ND 58701 | 2017-06-07 |
| 1265826036 | Premier Physical Therapy of North Dakota Pllc | Physical Therapist | 1715 South Broadway, Minot, ND 58701 | 2015-03-19 |
| Find all providers in zip 58701 | ||||
| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871979229 | Carmelia Renee Carroll | Hospitalist | 2111 Landmark Cir Nw, Minot, ND 58703-1967 | 2015-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538545918 | Dileep Kumar | Hospitalist | Sanford Health 801 Broadway N, Fargo, ND 58122-0170 | 2015-08-07 |
| 1841847688 | Renae Welhouse | Hospitalist | 300 N 7th St, Bismarck, ND 58501-4439 | 2019-08-26 |
| 1992225494 | Celestine Uche Mkpozi | Hospitalist | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2017-06-26 |
| 1144740184 | Brent J Klinkhammer | Hospitalist | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2017-06-21 |
| 1033664487 | Malik Muhammad Anwar Ul Haq | Hospitalist | 3000 32nd Ave S, Fargo, ND 58103-6132 | 2016-08-15 |
| 1912359431 | Nikolai Tolkachev | Hospitalist | 3000 32nd Avenue South, Fargo, ND 58103 | 2016-07-08 |
| 1780035543 | Kristopher Holaday | Hospitalist | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2016-06-23 |
| 1629424627 | Elliot Lawrence | Hospitalist | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2016-05-09 |
| 1942682851 | Tatsiana Aleksandrovich | Hospitalist | 801 Broadway N, Fargo, ND 58102-3641 | 2015-06-26 |
| 1336536291 | Teresa Frey | Hospitalist | 5225 23rd Ave S, Fargo, ND 58104-7927 | 2015-04-17 |
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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.