CATHERINE C BLACK (NPI# 1780613018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1780613018 |
Entity Type | Individual |
Full Name | CATHERINE C BLACK |
Credential | PA-C |
Practice Address |
1501 N Campbell Avenue Tucson AZ 85724 |
Practice Telephone | 5412802493 |
Practice Fax Number | 5206264008 |
Mailing Telephone | 5412802493 |
Mailing Fax Number | 5206264008 |
Enumeration Date | 2006-06-30 |
Last Update Date | 2018-10-08 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363A00000X | Physician Assistant | 7072 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
N | 363A00000X | Physician Assistant | PA159129 | OR | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA10004690 | WA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA10004690 | WA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 500648665 | 05 | |
WA | L&I | 0194214 | 01 |
WA | 8415937 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669844817 | Catherine Black | Acupuncturist | 275 Main St Unit G-001, Edwards, CO 81632-7806 | 2015-10-28 |
1962699967 | Catherine V Black | Counselor | 2256 New Danville Pike, Lancaster, PA 17603-9666 | 2007-10-03 |
1649733536 | Catherine E Black | Counselor | 63 Milltown Rd, East Brunswick, NJ 08816-2378 | 2019-04-09 |
1720579840 | Catherine M Black | Nurse Practitioner | 1218 E Lancaster Ave, Bryn Mawr, PA 19010-2616 | 2018-05-24 |
1053608158 | Catherine A Black | Pharmacist | 2500 N State St, Dept of Pharmacy Practice, Jackson, MS 39216-4500 | 2011-07-09 |
1366623191 | Catherine R Black | Nurse Practitioner | 280 River Park Dr, Suite 200, Provo, UT 84604-5764 | 2007-11-20 |
1992719603 | Catherine J Black | Nurse Practitioner | 2401 Gillham Rd, Kansas City, MO 64108-4619 | 2006-07-28 |
Street Address |
1501 N CAMPBELL AVENUE |
City | TUCSON |
State | AZ |
Zip Code | 85724 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265410369 | Mohammad Y Bader | Pediatrics | 1501 N Campbell Avenue, Tucson, AZ 85724 | 2006-01-09 |
1447871710 | Zachary John Gibson | Emergency Medicine | 1501 N Campbell Avenue, Tucson, AZ 85724-5057 | 2020-04-28 |
1477007136 | Rebecca Thiede | Student in an Organized Health Care Education/Training Program | 1501 N Campbell Avenue, Tucson, AZ 85724 | 2016-08-11 |
1023307881 | Angelina M Price | Nurse Practitioner | 1501 N Campbell Avenue, Tucson, AZ 85724 | 2011-04-01 |
1871811083 | Carla Mardene Rodriguez | Nurse Practitioner | 1501 N Campbell Avenue, Tucson, AZ 85724 | 2010-05-12 |
1174847255 | David S Nathalang | Pediatrics | 1501 N Campbell Avenue, Tucson, AZ 85724 | 2010-03-18 |
1326238098 | Valerie C Ebert | Pediatrics | 1501 N Campbell Avenue, Tucson, AZ 85724 | 2007-07-30 |
1245352624 | Hillary Ann Franke | Pediatrics | 1501 N Campbell Avenue, Box 245073, Tucson, AZ 85724 | 2007-04-04 |
1649343500 | Andreas A Theodorou | Pediatrics | 1501 N Campbell Avenue, Tucson, AZ 85724 | 2006-11-16 |
1437229986 | Mary Ann Roberts | Nurse Practitioner | 1501 N Campbell Avenue, Tucson, AZ 85724 | 2006-11-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568025617 | Caronae Howell | Surgery | University of Arizona/vascular Surgery Section, 1501 N. Campbell Ave., Room 4402, Tucson, AZ 85724 | 2019-04-15 |
1881183143 | Bradley Bohman | Internal Medicine | 1501 N. Campbell Ave, Room 6336, Tucson, AZ 85724 | 2018-05-02 |
1255780789 | Elly Varma | Internal Medicine | 1501 N Campbell Avenue Com Room 6336, Department of Medicine, Tuscon, AZ 85724 | 2016-06-06 |
1295183234 | Elise Vo | Internal Medicine | 1501 N. Campbell- Room 6336, Tucson, AZ 85724 | 2016-06-01 |
1730575101 | Colin A. West | Emergency Medicine | Banner University Medical Center Tucson, 1501 N. Campbell Ave., Tucson, AZ 85724 | 2015-04-12 |
1023403623 | Laura Elizabeth Bach | Internal Medicine | 1501 N Campbell Ave Rm 6402, Tucson, AZ 85724 | 2015-03-31 |
1174939623 | Jawad Bilal | Internal Medicine | 1501 N Campbell Ave Rm 8339, Tucson, AZ 85724 | 2014-07-05 |
1447678016 | Kimberly Schmelzle Winsor | Student in an Organized Health Care Education/Training Program | 1501 N, Campbell Ave., Tucson, AZ 85724 | 2014-04-01 |
1710299276 | Jeffrey M Rice | Neurological Surgery | 1501 North Campbell Avenue, University of Arizona, Tucson, AZ 85724 | 2010-07-12 |
1558698464 | University of Arizona | General Acute Care Hospital | U of A Health Sciences Center - Umc Pediatrics, Campbell Ave, Tucson, AZ 85724 | 2009-11-13 |
Find all providers in zip 85724 |
Taxonomy Code | 363A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457966640 | Stephanie Alonso | Physician Assistant | 7725 N Sun Flair Dr, Tucson, AZ 85741-1582 | 2020-09-14 |
1902416084 | Nooria Sufi | Physician Assistant | 3849 E Calle De Soto, Tucson, AZ 85716-5125 | 2020-08-04 |
1578189650 | Emily Alaine Maru | Physician Assistant | 9641 E Waters Edge Pl, Tucson, AZ 85749-7901 | 2020-06-24 |
1144863481 | Daniel E Valdez | Physician Assistant | 7360 S Frost Dr, Tucson, AZ 85747-5641 | 2019-10-18 |
1831663731 | Chenin Poels | Physician Assistant | 1652 E Saint Ferdinand Pl, Tucson, AZ 85713-5185 | 2019-01-14 |
1750864310 | Stephen Skiano | Physician Assistant | 3615 N Prince Village Pl Ste 121, Tucson, AZ 85719-2034 | 2018-09-10 |
1215415112 | Chelsea Marie Baker | Physician Assistant | 2495 N Desert Links Dr Apt 11, Tucson, AZ 85715-3727 | 2018-08-02 |
1891209268 | Samantha Martinez | Physician Assistant | 7089 N Thornydale Rd, Tucson, AZ 85741-2728 | 2017-11-21 |
1851819692 | Clayton Harrison Andrews | Physician Assistant | 1501 N Campbell Ave Rm 4325, Tucson, AZ 85724-0001 | 2017-08-31 |
1831613579 | Ashley Shaw | Physician Assistant | 5856 N Placita Esplendora, Tucson, AZ 85718 | 2017-08-02 |
Find all providers in TUCSON |
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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.