DR. LISA ANN BLACK (NPI# 1770555252) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770555252 |
| Entity Type | Individual |
| Full Name | DR. LISA ANN BLACK |
| Credential | D.O., MPH |
| Practice Address |
3551 Roger Brooke Dr San Antonio TX 78234-4504 |
| Mailing Address |
340 El Portal Dr Hollywood Park TX 78232-2110 |
| Practice Telephone | 2109161952 |
| Mailing Telephone | 3012190392 |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2020-05-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
Q5622 | TX | Allopathic & Osteopathic Physicians |
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
DO-667 | AL | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326396706 | Lisa Marie Black | Physical Therapy Assistant | 3433 Cranston Cir, Highlands Ranch, CO 80126-3620 | 2012-08-16 |
| 1780944520 | Lisa Anne Black | Nurse Practitioner | 220 S Courtenay Pkwy, Suite B, Merritt Island, FL 32952-4893 | 2012-05-28 |
| 1659631240 | Lisa Black | Physical Therapist | 11524 Spaulding St, Omaha, NE 68164-2366 | 2012-05-17 |
| 1497086219 | Lisa Lynn Black | Midwife | 3917 Hickory Bend Trl, Mckinney, TX 75071-2776 | 2010-01-18 |
| 1871780387 | Lisa Gail Black | Massage Therapist | 525 13th Avenue, Huntington, WV 25701 | 2007-09-28 |
| 1386787661 | Lisa Myers Black | Psychologist | 4003 24th Ave Ne, Norman, OK 73071-7749 | 2007-02-15 |
| 1851484307 | Lisa Breaux Black | Family Medicine | 895 Verret St, Houma, LA 70360-4635 | 2006-10-02 |
| 1730152653 | Lisa B Black | Internal Medicine | 701 E Marshall St Ste 640, West Chester, PA 19380-4412 | 2006-02-10 |
| 1922607696 | Lisa Black | Home Health Aide | 1119 S New York Ave, Wellston, OH 45692-2427 | 2020-10-22 |
| 1720582398 | Lisa Black | Occupational Therapist | 7445 Allen Rd Ste 102, Allen Park, MI 48101-1992 | 2018-03-20 |
| Street Address |
3551 ROGER BROOKE DR |
| City | SAN ANTONIO |
| State | TX |
| Zip Code | 78234-4504 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649274135 | Craig Mahlon Womeldorph | Internal Medicine | 3551 Roger Brooke Dr, San Antonio Military Medical Center, San Antonio, TX 78234-4504 | 2005-06-13 |
| 1639777139 | Carolina Marcia Delgado | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | 2020-10-15 |
| 1285232439 | Ngozika Oguamanam | Pharmacist | 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | 2020-10-10 |
| 1528673100 | Sarah Villalpando | Dietitian, Registered | 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | 2020-09-10 |
| 1568070357 | Thomas Gerald Baughan II | Nurse Anesthetist, Certified Registered | 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | 2020-07-17 |
| 1356967186 | Wayne James Blalock | Nurse Anesthetist, Certified Registered | 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | 2020-06-17 |
| 1619591088 | Candace Alexandra Flagg | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | 2020-06-02 |
| 1396366530 | Kenneth James Johnson | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | 2020-04-28 |
| 1346879384 | Jacob Loesche | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr, Jbsa-fort Sam Houston, San Antonio, TX 78234-4504 | 2020-04-02 |
| 1851927560 | Jarrod Paul Odom | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Dr, San Antonio, TX 78234-4504 | 2020-03-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255942884 | Thomas Ballas | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa-fort Sam Houston, Department of Behavioral Medicine-mche-dbm, San Antonio, TX 78234 | 2020-08-17 |
| 1124657366 | Wendy Harris | Pharmacist | 3041 Garden Ave, Fort Sam Houston, TX 78234 | 2020-04-08 |
| 1215564729 | Travis Frantz | Student in an Organized Health Care Education/Training Program | 3551 Rodger Brooke Drive, Jbsa Fort Sam Houston, TX 78234 | 2020-03-25 |
| 1508492695 | Matthew Grossmann | Student in an Organized Health Care Education/Training Program | San Antonio Military Medical Center, Mche-zdm-m, Internal Medicine Residency, 3551 Roger Brooke Dr., Jbsa-fort Sam Houston, TX 78234 | 2020-03-20 |
| 1235793407 | Jessica Maria May Franklin | Student in an Organized Health Care Education/Training Program | 3551 Roger Brooke Drive Jbsa Fort Sam Houston, San Antonio, TX 78234 | 2019-04-23 |
| 1730663477 | Glen Snyder | Military Health Care Provider | 3488 Garden Ave Anderson Hall, Fort Sam Houston, San Antonio, TX 78234 | 2018-09-19 |
| 1265919336 | Ashley Elizabeth Malawey | Military Health Care Provider | 3222 Cpl Johnson Road, San Antonio, TX 78234 | 2018-07-23 |
| 1053805515 | Rene Espinosa | Social Worker | San Antonio Medical Center, 3551 Roger Brooke Dr, Jbsa, TX 78234 | 2018-06-19 |
| 1235622333 | Melanie Edith Rivera | Military Health Care Provider | 3600 Roger Brooke Drive, San Antonio, TX 78234 | 2018-06-13 |
| 1063909158 | Benjamin Walker Appelo | General Practice | San Antonio Mil Med Center 3551 Roger Brooke Dr, Mche-zdm-m, San Antonio, TX 78234 | 2018-04-16 |
| Find all providers in zip 78234 | ||||
| Taxonomy Code | 2083X0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Occupational Medicine |
| Occupational medicine focuses on the health of workers, including the ability to perform work; the physical, chemical, biological, and social environments of the workplace; and the health outcomes of environmental exposures. Practitioners in this field address the promotion of health in the work place, and the prevention and management of occupational and environmental injury, illness, and disability. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588226922 | Richard Havel | Preventive Medicine | 1514 Diane Dr, San Antonio, TX 78220-4838 | 2019-07-06 |
| 1134508914 | Everett Arthur Bolz | Preventive Medicine | 5710 W. Hausman Rd. Suite 105, Gtw Consultants & Associates, San Antonio, TX 78249-1646 | 2015-05-26 |
| 1164742284 | Rosalinda Fitts | Preventive Medicine | 1940 Carswell Avenue, Bldg 7002, Jbsa-lackland, San Antonio, TX 78236 | 2010-06-11 |
| 1023131802 | Clifford R Shaw | Preventive Medicine | 3453 North Hwy 35, Suite 110, San Antonio, TX 78219 | 2007-04-09 |
| 1588786446 | Lawrence R Spence | Preventive Medicine | 13722 Embasy Row, Texas Med Clinic, San Antonio, TX 78216 | 2007-04-04 |
| 1871561498 | Brian Gregory Scott | Preventive Medicine | 4100 E Piedras Dr, Battelle, Suite 185, San Antonio, TX 78228-1425 | 2006-03-09 |
| 1780801142 | James Robert Armstrong | Preventive Medicine | 516 Lexington Ave, San Antonio, TX 78215-1930 | 2007-04-19 |
| 1801916598 | Elizabeth T Ybarra | Preventive Medicine | 1904 Grandstand Dr, San Antonio, TX 78238-4508 | 2007-03-29 |
| 1770603573 | George Carrion | Preventive Medicine | 400 E Quincy St, San Antonio, TX 78215-1934 | 2007-03-29 |
| 1922127414 | Ernesto M Tamez | Preventive Medicine | 10200 Broadway St, Suite 200, San Antonio, TX 78217-4431 | 2007-03-28 |
| Find all providers in SAN ANTONIO | ||||
| City | SAN ANTONIO |
| Zip Code | 78234 |
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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.