Jamie Black (NPI# 1477830057, PAC ID# 0547435034) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1477830057 |
| PAC ID by PECOS | 0547435034 |
| Professional Enrollment ID | I20111212000716 |
| Full Name | Jamie Black |
| Organization Legal Name | DESERT PULMONARY AND SLEEP CONSULTANTS PLC |
| Address |
3303 E Baseline Rd Suite 208 Gilbert AZ 85234-2728 |
| Phone Number | 4809621650 |
| Gender | F |
| Medical School | LOMA LINDA UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 2011 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 6002711272 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 030065 | BANNER DESERT MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3303 E Baseline Rd, Suite 208, Gilbert, AZ 85234-2728 | 4809621650 | DESERT PULMONARY AND SLEEP CONSULTANTS PLC |
| Organization Legal Name | DESERT PULMONARY AND SLEEP CONSULTANTS PLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Brian Main | Physician Assistant | Desert Pulmonary and Sleep Consultants Plc | 3303 E Baseline Rd, Suite 208, Gilbert, AZ 85234-2728 |
| Amy E Bohan | Pulmonary Disease | Desert Pulmonary and Sleep Consultants Plc | 3303 E Baseline Rd, Suite 208, Gilbert, AZ 85234-2728 |
| Harmeet S Gill | Pulmonary Disease | Desert Pulmonary and Sleep Consultants Plc | 3303 E Baseline Rd, Suite 208, Gilbert, AZ 85234-2728 |
| Thomas Joseph Slobig | Pulmonary Disease | Desert Pulmonary and Sleep Consultants Plc | 3303 E Baseline Rd, Suite 208, Gilbert, AZ 85234-2728 |
| Christopher Robert Consolino | Physician Assistant | Desert Pulmonary and Sleep Consultants Plc | 3303 E Baseline Rd, Suite 208, Gilbert, AZ 85234-2728 |
| Paul R Barnard | Pulmonary Disease | Desert Pulmonary and Sleep Consultants Plc | 3303 E Baseline Rd, Suite 208, Gilbert, AZ 85234-2728 |
| Street Address |
3303 E BASELINE RD SUITE 208 |
| City | GILBERT |
| State | AZ |
| Zip | 85234-2728 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kevin Brian Main | Physician Assistant | Desert Pulmonary and Sleep Consultants Plc | 3303 E Baseline Rd, Suite 208, Gilbert, AZ 85234-2728 |
| Thomas J Willim | Physician Assistant | Premier Medical Group LLC | 3303 E Baseline Rd, Suite 203, Gilbert, AZ 85234-2728 |
| Ana Maria Sierra De Aragon | Internal Medicine | Premier Medical Group LLC | 3303 E Baseline Rd, Suite 203, Gilbert, AZ 85234-2728 |
| Stephanie L Berman | Nurse Practitioner | True Health Baseline LLC | 3303 E Baseline Rd, Suite 204, Gilbert, AZ 85234-2728 |
| Amy E Bohan | Pulmonary Disease | Desert Pulmonary and Sleep Consultants Plc | 3303 E Baseline Rd, Suite 208, Gilbert, AZ 85234-2728 |
| Joan M Ardavanis | Nurse Practitioner | True Health Baseline LLC | 3303 E Baseline Rd, Suite 204, Gilbert, AZ 85234-2728 |
| Harmeet S Gill | Pulmonary Disease | Desert Pulmonary and Sleep Consultants Plc | 3303 E Baseline Rd, Suite 208, Gilbert, AZ 85234-2728 |
| Jesmina Shrestha | Nurse Practitioner | Premier Medical Group LLC | 3303 E Baseline Rd, Suite 203, Gilbert, AZ 85234-2728 |
| Brett B Brimhall | Chiropractic | True Health Baseline LLC | 3303 E Baseline Rd, Suite 204, Gilbert, AZ 85234-2728 |
| Thomas Joseph Slobig | Pulmonary Disease | Desert Pulmonary and Sleep Consultants Plc | 3303 E Baseline Rd, Suite 208, Gilbert, AZ 85234-2728 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Haley Gann | Registered Dietitian Or Nutrition Professional | Eating for Life, LLC | 3820 E Leah Ct, Gilbert, AZ 85234-0013 |
| Aida E Amado | Nurse Practitioner | Banner Cancer Center Specialists LLC | 1900 N Higley Rd, Gilbert, AZ 85234-1604 |
| Michelle Branton | Nurse Practitioner | Banner Cancer Center Specialists LLC | 1900 N Higley Rd, Gilbert, AZ 85234-1604 |
| Ala Eddin Samir Sagar | Pulmonary Disease | Banner Cancer Center Specialists LLC | 1900 N Higley Rd, Gilbert, AZ 85234-1604 |
| Andrew M Weinberg | Gastroenterology | Banner Cancer Center Specialists LLC | 1900 N Higley Rd, Gilbert, AZ 85234-1604 |
| Reeshma S Mohammed | Nurse Practitioner | Banner Cancer Center Specialists LLC | 1900 N Higley Rd, Gilbert, AZ 85234-1604 |
| Marwan M Oleiwi | Internal Medicine | Banner Hospital Based Physicians Arizona LLC | 1900 N Higley Rd, Gilbert, AZ 85234-1604 |
| Tessa Meyer | Nurse Practitioner | Banner Cancer Center Specialists LLC | 1900 N Higley Rd, Gilbert, AZ 85234-1604 |
| Karthik R Donuur | Internal Medicine | Banner Hospital Based Physicians Arizona LLC | 1900 N Higley Rd, Gilbert, AZ 85234-1604 |
| Rosemary Bloom | Physician Assistant | Banner Cancer Center Specialists LLC | 1900 N Higley Rd, Gilbert, AZ 85234-1604 |
| Find all physicians in zip 85234 | |||
| City | GILBERT |
| Zip Code | 85234 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | GILBERT + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Jamie Black.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.