Tina M Black (NPI# 1174609754, PAC ID# 1557304433) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1174609754 |
| PAC ID by PECOS | 1557304433 |
| Professional Enrollment ID | I20050602000606 |
| Full Name | Tina M Black |
| Organization Legal Name | UNIVERSITY PRIMARY CARE PRACTICES INC |
| Address |
9000 Mentor Ave Suite 101 Mentor OH 44060-4496 |
| Phone Number | 2163830100 |
| Gender | F |
| Credential | DO |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1990 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3072417534 |
| Number of Group Practice Members | 857 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360155 | SOUTHWEST GENERAL HEALTH CENTER |
| Address | Phone | Organization |
|---|---|---|
| 3909 Orange Pl, Suite 2100, Beachwood, OH 44122-8400 | 2163830100 | UNIVERSITY PRIMARY CARE PRACTICES INC |
| 9000 Mentor Ave, Suite 101, Mentor, OH 44060-4496 | 2163830100 | UNIVERSITY PRIMARY CARE PRACTICES INC |
| Organization Legal Name | UNIVERSITY PRIMARY CARE PRACTICES INC |
| Physicians | 933 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rebekah Crawford | Family Medicine | University Primary Care Practices Inc | 15900 Snow Rd, Suite 302, Brookpark, OH 44142-2860 |
| Laura Tramer | Nurse Practitioner | University Primary Care Practices Inc | 7856 Brookside Dr, Olmsted Falls, OH 44138-1653 |
| Cherie Renee Phillips | Vascular Surgery | University Primary Care Practices Inc | 6707 Powers Blvd, Suite 202, Parma, OH 44129-5464 |
| Amanda Iliano | Nurse Practitioner | University Primary Care Practices Inc | 27155 Chardon Rd, Suite 205, Richmond Hts, OH 44143-1166 |
| Geetika Bhatt | Hematology/oncology | University Primary Care Practices Inc | 5885 Landerbrook Dr, Suite 100, Mayfield Hts, OH 44124-4031 |
| Samantha Kiefer | Family Medicine | University Primary Care Practices Inc | 167 W Main Rd F, Conneaut, OH 44030-2057 |
| Vineeta Gahlawat | General Surgery | University Primary Care Practices Inc | 1025 Ctr St, Ashland, OH 44805-4011 |
| Kathryn Alto | Nurse Practitioner | University Primary Care Practices Inc | 88 Ctr Rd, Suite 250a, Bedford, OH 44146-2711 |
| Kaitlin E Maloney | Physician Assistant | University Primary Care Practices Inc | 630 E River St, Elyria, OH 44035-5902 |
| Turker Yilmaz | Otolaryngology | University Primary Care Practices Inc | 2131 Lake Ave, Suite 4, Ashtabula, OH 44004-3466 |
| Street Address |
9000 MENTOR AVE SUITE 101 |
| City | MENTOR |
| State | OH |
| Zip | 44060-4496 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| James Senft | Internal Medicine | University Hospitals Regional Practices LLC | 9000 Mentor Ave, Suite 105, Mentor, OH 44060-4497 |
| Robert M Cherne | Optometry | University Primary Care Practices Inc | 9000 Mentor Ave, Suite 102, Mentor, OH 44060-4497 |
| Ivan Cakulev | Cardiovascular Disease (cardiology) | University Hospitals Medical Group Inc | 9000 Mentor Ave, Mentor, OH 44060-4496 |
| Robert B Wilder | Emergency Medicine | University Primary Care Practices Inc | 9000 Mentor Ave, Suite 101, Mentor, OH 44060-4496 |
| Regina M Bruno | Anesthesiology Assistant | University Hospitals Medical Group Inc | 9000 Mentor Ave, Mentor, OH 44060-4496 |
| Jill C Miller | Internal Medicine | University Primary Care Practices Inc | 9000 Mentor Ave, Suite 101, Mentor, OH 44060-4496 |
| Lloyd H Greene | Cardiovascular Disease (cardiology) | University Hospitals Medical Group Inc | 9000 Mentor Ave, Mentor, OH 44060-4496 |
| David C Parris | Internal Medicine | University Primary Care Practices Inc | 9000 Mentor Ave, Suite 105, Mentor, OH 44060-4497 |
| Emily L Ellison | Nurse Practitioner | University Hospitals Medical Group Inc | 9000 Mentor Ave, Mentor, OH 44060-4496 |
| Craig M Hileman | Family Medicine | University Primary Care Practices Inc | 9000 Mentor Ave, Suite 101, Mentor, OH 44060-4496 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Don Martin | Psychologist, Clinical | 8472 Lake Shore Blvd, Mentor, OH 44060-1515 | |
| Vyacheslav Isakov | Family Medicine | 9150 Lake Shore Blvd, Mentor, OH 44060-1672 | |
| Gregory C Morris | Physical Therapy | Agm Physical Therapy, LLC | 6000 Heisley Rd, Mentor, OH 44060-1836 |
| Kari T Craig | Physical Therapy | Agm Physical Therapy, LLC | 6000 Heisley Rd, Mentor, OH 44060-1836 |
| James Stephen Washek | Physical Therapy | Agm Physical Therapy, LLC | 6000 Heisley Rd, Mentor, OH 44060-1836 |
| Katherine Long | Physical Therapy | Agm Physical Therapy, LLC | 6000 Heisley Rd, Mentor, OH 44060-1836 |
| Tina M Butt | Nurse Practitioner | Lake Hospital System, Inc. | 5700 Emerald Ct, Mentor, OH 44060-1870 |
| Carli A Carnish | Nurse Practitioner | Lake Hospital System, Inc. | 5700 Emerald Ct, Mentor, OH 44060-1870 |
| Mihaela Donca | Internal Medicine | Lake Hospital System, Inc. | 5700 Emerald Ct, Mentor, OH 44060-1870 |
| Christine Vavro | Clinical Social Worker | Crossroads Lake County Adolescent Counseling Services | 8445 Munson Rd, Mentor, OH 44060-2410 |
| Find all physicians in zip 44060 | |||
| City | MENTOR |
| Zip Code | 44060 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | MENTOR + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Tina M 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.