MICHELLE T BLACK


Address: 10700 E Geddes Ave, Suite 200, Englewood, CO 80112-3800
Phone: 3037619190

MICHELLE T BLACK (NPI# 1972739001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972739001
Entity Type Individual
Full Name MICHELLE T BLACK
Credential MD
Practice Address 10700 E Geddes Ave
Suite 200
Englewood
CO 80112-3800
Mailing Address 10700 E Geddes Ave
Ste 200
Englewood
CO 80112-3800
Practice Telephone 3037619190
Practice Fax Number 7208744462
Mailing Telephone 3037619190
Mailing Fax Number 7208744462
Enumeration Date 2009-06-03
Last Update Date 2017-04-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207R00000X Internal Medicine LL18706 OR Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
57945 CO Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
04-39604 KS Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
MD18981 HI Allopathic & Osteopathic Physicians
N 2085R0202X Radiology
Specialization: Diagnostic Radiology
29776 NE Allopathic & Osteopathic Physicians
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
113466 CA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CO 56135157 05

Other Providers MICHELLE BLACK

NPI Name Taxonomy Address Enumeration
1356714893 Michelle Lynn Jochim Black Psychologist 3800 Park Ave, Saint Louis, MO 63110-2514 2015-11-05
1598889123 Michelle Raegene Black Specialist/Technologist, Other 1200 Cherokee St, Unit #203, Denver, CO 80204-3664 2007-03-19
1295879351 Michelle Lee Black Specialist/Technologist 431 Pine St Ste G01, Burlington, VT 05401-4726 2007-02-20
1932700499 Michelle Black Pharmacist 2753 W Market St, Fairlawn, OH 44333-4235 2020-11-02
1578030946 Michelle Renee Black Specialist 19 Robinson Rd, Clinton, NY 13323-1418 2018-10-24
1184121949 Michelle Black Psychologist 21000 Education Ct, Broadlands, VA 20148-5526 2018-04-09
1235580762 Michelle Lynn Black Social Worker 1206 Clinton Rd, Jackson, MI 49202-2005 2016-06-27
1710331004 Michelle Black Counselor 8258 Veterans Hwy, Suite 13, Millersville, MD 21108-1457 2016-04-22
1588037055 Michelle Black Psychologist 2018 Western Ave, Knoxville, TN 37921-5718 2015-11-05
1295122059 Michelle Black Registered Nurse 406 N Spring St, Mcminnville, TN 37110-2134 2015-04-20

Office Location

Street Address 10700 E GEDDES AVE
SUITE 200
City ENGLEWOOD
State CO
Zip Code 80112-3800

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922083401 Phillip Gunther Radiology 10700 E Geddes Ave, Ste 200, Englewood, CO 80112-3800 2005-12-07
1376992818 Terri A Schaber Nurse Practitioner 10700 E Geddes Ave, Suite 200, Englewood, CO 80112-3800 2016-06-06
1720485725 Patricia Roeber Petrosky Nurse Practitioner 10700 E Geddes Ave, Suite 200, Englewood, CO 80112-3800 2014-11-19
1871914721 Rocky Mountain Medical Group P.C. Preventive Medicine 10700 E Geddes Ave, Suite 100, Englewood, CO 80112-3800 2013-12-19
1992134621 Annette V. Wychgram Nurse Practitioner 10700 E Geddes Ave, Suite 200, Englewood, CO 80112-3800 2013-11-04
1588939714 Amanda Leigh Small Nurse Practitioner 10700 E Geddes Ave, Suite 200, Englewood, CO 80112-3800 2012-03-21
1245514710 Jessica Brooke Gaither Radiologic Technologist 10700 E Geddes Ave, Suite 200, Englewood, CO 80112-3800 2011-10-03
1134402415 Benjamin Atchie Radiology 10700 E Geddes Ave, Suite 200, Englewood, CO 80112-3800 2011-09-23
1386955516 Amy Rebecca Yactor Tolbert Radiology 10700 E Geddes Ave, Suite 200, Englewood, CO 80112-3800 2010-06-22
1366609653 Shane C Wheeler Radiology 10700 E Geddes Ave, 200, Englewood, CO 80112-3800 2008-05-22
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1750921177 Natalie Jo Stevenson Social Worker 12835 E Arapahoe Rd., Tower 2, Suite 400, Centennial, CO 80112 2020-01-14
1033757109 Sauder Psychology, Inc Psychologist 9085 E. Mineral Cir, Suite 235, Centennial, CO 80112 2019-12-19
1588213581 Myappstorebiz Special Hospital 13033 E Adam Aircraft Circle B 53, Englewood, CO 80112 2019-09-11
1669930319 Linked To Craig 501c3 Dentist 9085 E. Mineral Circle, Suite 350, Centennial, CO 80112 2019-03-12
1528538311 Cherish Mitchell Behavior Technician 12660 E Briarwood Ave, Suite 207, Centennial, CO 80112 2018-12-05
1144706920 Margaret Mary Froehlke Homemaker 6278 E Jamison Dr, Centennial, CO 80112 2018-07-16
1376038240 Elizabeth Ann Dickason Physician Assistant 9094 East Mineral Avenue, #100, Englewood, CO 80112 2018-06-24
1770075467 Dry Creek Surgery Center, LLC Clinic/Center 125 Inverness Dr E Ste 150, Englewood, CO 80112 2018-05-30
1639669476 Uchealth Ambulatory Surgery Centers Clinic/Center 175 Inverness Drive West, Englewood, CO 80112 2018-05-17
1427545227 Patterns Behavioral Services Colorado Inc Assistant Behavior Analyst 7600 E Arapahoe Rd Ste 211, Centennial, CO 80112 2018-04-17
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417104399 Sean Enis Radiology 189 Lyman Pl, Englewood, NJ 07631-3609 2008-08-22
1609928126 Bergen Imaging Ctr Pa Radiology 180 North Dean St, Englewood, NJ 07631 2007-01-17
1982641916 Bao C Nguyen Radiology 9780 Mt Pyramid Ct, Suite 160, Englewood, CO 80112-7054 2006-05-31
1316926272 Allison Luanne Summers Radiology 383 Inverness Pkwy, Suite 280, Englewood, CO 80112-5865 2006-01-10
1821073180 Joel A. Budin Radiology 355 Broad Ave, Englewood, NJ 07631-4348 2005-12-09
1922083401 Phillip Gunther Radiology 10700 E Geddes Ave, Ste 200, Englewood, CO 80112-3800 2005-12-07
1487640462 Dulcy E Wolverton Radiology 10700 E. Geddes Ave, Attn: Credentialing, Englewood, CO 80112-3681 2005-09-23
1518963214 South Denver Integrated Imaging LLC Radiology 14251 E Fremont Ave, Englewood, CO 80112-4443 2005-06-27
1356345680 Benjamin E Kassanoff Radiology 501 E Hampden Ave, Englewood, CO 80113-2702 2005-05-31
1922556083 Ugorji Radiology Consultants, LLC Radiology 7550 S Blackhawk St, #6-208, Englewood, CO 80112-4068 2016-09-19
Find all providers in ENGLEWOOD

Competitor

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City ENGLEWOOD
Zip Code 80112

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Dataset Information

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.

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