English Black (NPI# 1588613129, PAC ID# 5395723910) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1588613129 |
| PAC ID by PECOS | 5395723910 |
| Professional Enrollment ID | I20040728001697 |
| Full Name | English Black |
| Organization Legal Name | SKIN SURGERY CENTER PA |
| Address |
1450 Professional Park Dr Winston Salem NC 27103-1300 |
| Phone Number | 3367242434 |
| Gender | F |
| Credential | PA |
| Graduation Year | 2002 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 3173599479 |
| Number of Group Practice Members | 40 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1450 Professional Park Dr, Winston Salem, NC 27103-1300 | 3367242434 | SKIN SURGERY CENTER PA |
| Organization Legal Name | SKIN SURGERY CENTER PA |
| Physicians | 40 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Stephanie Howerter | Dermatology | Skin Surgery Center Pa | 312 Fairy St Ext, Suite 201, Martinsville, VA 24112-1912 |
| Mario V Mitkov | Dermatology | Skin Surgery Center Pa | 1450 Professional Park Dr, Winston Salem, NC 27103-1300 |
| Kendall Martel Egan | Dermatology | Skin Surgery Center Pa | 6752 Rock Spring Rd, Suite 201, Wilmington, NC 28405-3179 |
| Christopher Ryan Urban | Dermatology | Skin Surgery Center Pa | 78 Long Shoals Rd, Arden, NC 28704-7782 |
| Joyce S Smith | Nurse Practitioner | Skin Surgery Center Pa | 2874 Ward Blvd, Wilson, NC 27893-1761 |
| Karen Trygg Wold | Dermatology | Skin Surgery Center Pa | 1985 Tate Blvd Se, Suite 755, Hickory, NC 28602-1433 |
| Samantha Conner | Physician Assistant | Skin Surgery Center Pa | 314 S S St, Suite 400, Mount Airy, NC 27030-4599 |
| Charles N Reed | Dermatology | Skin Surgery Center Pa | 1870 N Ctr St, Hickory, NC 28601-1853 |
| Martha Louise Wilson | Dermatology | Skin Surgery Center Pa | 104 E Stuart Dr, Galax, VA 24333-2119 |
| Amy Devore | Dermatology | Skin Surgery Center Pa | 314 S S St, Suite 400, Mount Airy, NC 27030-4599 |
| Street Address |
1450 PROFESSIONAL PARK DR |
| City | WINSTON SALEM |
| State | NC |
| Zip | 27103-1300 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mario V Mitkov | Dermatology | Skin Surgery Center Pa | 1450 Professional Park Dr, Winston Salem, NC 27103-1300 |
| Gerardo Anthony Marrazzo | Dermatology | Skin Surgery Center Pa | 1450 Professional Park Dr, Winston Salem, NC 27103-1300 |
| John Gerald Albertini | Dermatology | Skin Surgery Center Pa | 1450 Professional Park Dr, Winston Salem, NC 27103-1300 |
| Daniel J Pearce | Dermatology | Skin Surgery Center Pa | 1450 Professional Park Dr, Winston Salem, NC 27103-1300 |
| Abigail S Plonk | Physician Assistant | Skin Surgery Center Pa | 1450 Professional Park Dr, Winston Salem, NC 27103-1300 |
| Jay L Clarke | Physician Assistant | Skin Surgery Center Pa | 1450 Professional Park Dr, Winston Salem, NC 27103-1300 |
| Nathan B Wright | Physician Assistant | Skin Surgery Center Pa | 1450 Professional Park Dr, Winston Salem, NC 27103-1300 |
| Ashley R Lancaster | Physician Assistant | Skin Surgery Center Pa | 1450 Professional Park Dr, Winston Salem, NC 27103-1300 |
| John Arthur Gantt | Physician Assistant | Skin Surgery Center Pa | 1450 Professional Park Dr, Winston Salem, NC 27103-1300 |
| Debra Liu | Dermatology | Skin Surgery Center Pa | 1450 Professional Park Dr, Winston Salem, NC 27103-1300 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Predrag V Gligorovic | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| John G Spangler | Family Medicine | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Sahil Munjal | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Stephen I Kramer | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Gayathri D Tadepalli | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Richard Patrick Smith | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| James N Kimball | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Katherine Atala | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Heather Douglas | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Richard Adam Boiter | Psychiatry | Wake Forest University Health Sciences | 791 Jonestown Rd, Wfbh Psychiatry Jonestown, Winston-salem, NC 27103-1252 |
| Find all physicians in zip 27103 | |||
| City | WINSTON SALEM |
| Zip Code | 27103 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | WINSTON SALEM + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on English 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.