Gerald A Black (NPI# 1356349724, PAC ID# 2264337617) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is DIAGNOSTIC RADIOLOGY.
| Nation Provider ID (NPI) | 1356349724 |
| PAC ID by PECOS | 2264337617 |
| Professional Enrollment ID | I20040510001213 |
| Full Name | Gerald A Black |
| Organization Legal Name | CROUSE RADIOLOGY ASSOCIATES LLP |
| Address |
110 W 6th St Oswego NY 13126-2507 |
| Phone Number | 3153495511 |
| Gender | M |
| Credential | MD |
| Medical School | STATE UNIVERSITY OF NEW YORK HEALTH SCIENCE CENTER OF SYRACUSE |
| Graduation Year | 1976 |
| Primary Specialty | DIAGNOSTIC RADIOLOGY |
| Group Practice PAC ID | 1850387648 |
| Number of Group Practice Members | 31 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330203 | CROUSE HOSPITAL |
| 331316 | COMMUNITY MEMORIAL HOSPITAL, INC |
| 330218 | OSWEGO HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 150 Broad St, Hamilton, NY 13346-9575 | 3158246180 | CROUSE RADIOLOGY ASSOCIATES LLP |
| 110 W 6th St, Oswego, NY 13126-2507 | 3153495511 | CROUSE RADIOLOGY ASSOCIATES LLP |
| 61 Delano St, Pulaski, NY 13142-1400 | 3152986569 | CROUSE RADIOLOGY ASSOCIATES LLP |
| 1226 E Water St, Syracuse, NY 13210-1155 | 3154784185 | CROUSE RADIOLOGY ASSOCIATES LLP |
| 736 Irving Ave, Syracuse, NY 13210-1687 | 3154707551 | CROUSE RADIOLOGY ASSOCIATES LLP |
| Organization Legal Name | CROUSE RADIOLOGY ASSOCIATES LLP |
| Physicians | 30 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas K Chacko | Diagnostic Radiology | Crouse Radiology Associates LLP | 4211 Medical Ctr Dr, Fayetteville, NY 13066-6637 |
| James W Sherwood | Diagnostic Radiology | Crouse Radiology Associates LLP | 3858 State Route 13, Pulaski, NY 13142-2400 |
| Jennifer N Taylor | Diagnostic Radiology | Crouse Radiology Associates LLP | 736 Irving Ave, Syracuse, NY 13210-1687 |
| Steven A Steer Ii | Diagnostic Radiology | Crouse Radiology Associates LLP | 736 Irving Ave, Syracuse, NY 13210-1687 |
| Scott C Buckingham | Diagnostic Radiology | Crouse Radiology Associates LLP | 4211 Medical Ctr Dr, Fayetteville, NY 13066-6637 |
| Matthew S Peckham | Diagnostic Radiology | Crouse Radiology Associates LLP | 736 Irving Ave, Syracuse, NY 13210-1687 |
| Terese M Santaro Gustke | Nurse Practitioner | Crouse Radiology Associates LLP | 736 Irving Ave, Syracuse, NY 13210-1687 |
| Annemarie Sullivan | Diagnostic Radiology | Crouse Radiology Associates LLP | 4211 Medical Ctr Dr, Fayetteville, NY 13066-6637 |
| David A Green | Diagnostic Radiology | Crouse Radiology Associates LLP | 736 Irving Ave, Syracuse, NY 13210-1687 |
| Amy L Marcinkowski | Diagnostic Radiology | Crouse Radiology Associates LLP | 736 Irving Ave, Syracuse, NY 13210-1687 |
| Street Address |
110 W 6TH ST |
| City | OSWEGO |
| State | NY |
| Zip | 13126-2507 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mark Edward Davis | Nurse Practitioner | Rockaway Emergency Medicine Services PC | 110 W 6th St, Oswego, NY 13126-2507 |
| Richard H Koehler | Emergency Medicine | Port City Emergency Physicians LLP | 110 W 6th St, Oswego, NY 13126-2507 |
| Megan R Coghlan | Nurse Practitioner | Port City Emergency Physicians LLP | 110 W 6th St, Oswego, NY 13126-2507 |
| Kristine S Strumpfler | Nurse Practitioner | Pons Physician Services Pllc | 110 W 6th St, Fl 3, Oswego, NY 13126-2507 |
| Marie E Castillo Alcasid | Internal Medicine | Oswego Hospital | 110 W 6th St, Oswego, NY 13126-2507 |
| Jeri L Polchlopek | Certified Registered Nurse Anesthetist (crna) | Oswego Hospital | 110 W 6th St, Oswego, NY 13126-2507 |
| Nathaniel Michael Farden | Nurse Practitioner | Port City Emergency Physicians LLP | 110 W 6th St, Oswego, NY 13126-2507 |
| Samir Edward Yousef | Internal Medicine | Oswego Hospital | 110 W 6th St, Oswego, NY 13126-2507 |
| Jerry J Micho | Certified Registered Nurse Anesthetist (crna) | Oswego Hospital | 110 W 6th St, Oswego, NY 13126-2507 |
| Peter Lacell | Registered Dietitian Or Nutrition Professional | Oswego Hospital | 110 W 6th St, Oswego, NY 13126-2507 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ivan G Proano | Ophthalmology | Ivan G Proano Md Pllc | 15 Bronson St, Oswego, NY 13126-1004 |
| Matthew J Liepke | Internal Medicine | Port City Family Medicine PC Inc | 33 E Schuyler St, Oswego, NY 13126-1161 |
| Corliss A Varnum | Family Medicine | Port City Family Medicine PC Inc | 33 E Schuyler St, Oswego, NY 13126-1161 |
| Joan Newell | Internal Medicine | Port City Family Medicine PC Inc | 33 E Schuyler St, Oswego, NY 13126-1161 |
| Christina M Liepke | Family Medicine | Port City Family Medicine PC Inc | 33 E Schuyler St, Oswego, NY 13126-1161 |
| Theresa Check | Certified Nurse Midwife (cnm) | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
| Raj K Mahajan | Obstetrics/gynecology | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
| Megan Rae Irland | Physician Assistant | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
| Daniel G Coty | Obstetrics/gynecology | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
| Ayesha Lauren Turner | Obstetrics/gynecology | Oswego County Ob-gyn PC | 42 Montcalm St, Oswego, NY 13126-1321 |
| Find all physicians in zip 13126 | |||
| City | OSWEGO |
| Zip Code | 13126 |
| Specialty | DIAGNOSTIC RADIOLOGY |
| City + Specialty | OSWEGO + DIAGNOSTIC RADIOLOGY |
Please comment or provide details below to improve the information on Gerald A 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.