Nathan Jeremy Black (NPI# 1316434913, PAC ID# 6103174941) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1316434913 |
| PAC ID by PECOS | 6103174941 |
| Professional Enrollment ID | I20180809005573 |
| Full Name | Nathan Jeremy Black |
| Organization Legal Name | CENTER FOR TEAM HEALTHCARE |
| Address |
1901 Prospector Ave Suite 10 Park City UT 84060-7550 |
| Phone Number | 4356491542 |
| Gender | M |
| Medical School | CLEVELAND CHIROPRACTIC COLLEGE - KANSAS CITY |
| Graduation Year | 2014 |
| Primary Specialty | CHIROPRACTIC |
| Group Practice PAC ID | 6507889151 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1901 Prospector Ave, Suite 10, Park City, UT 84060-7550 | 4356491542 | CENTER FOR TEAM HEALTHCARE |
| Organization Legal Name | CENTER FOR TEAM HEALTHCARE |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald A Cofer | Chiropractic | Center for Team Healthcare | 1901 Prospector Ave, Suite 10, Park City, UT 84060-7550 |
| Street Address |
1901 PROSPECTOR AVE SUITE 10 |
| City | PARK CITY |
| State | UT |
| Zip | 84060-7550 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donald A Cofer | Chiropractic | Center for Team Healthcare | 1901 Prospector Ave, Suite 10, Park City, UT 84060-7550 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Charles Reese Morrison | Family Medicine | Ihc Health Services Inc | 1493 Lowell Ave, Park City, UT 84060-5116 |
| Bradley Michael Prestwich | Family Medicine | Ihc Health Services Inc | 1665 Bonanza Dr, Park City, UT 84060-5127 |
| Jeffrey Horne Tingey | Family Medicine | Ihc Health Services Inc | 1665 Bonanza Dr, Park City, UT 84060-5127 |
| Lisa M Saturnino | Family Medicine | Ihc Health Services Inc | 1665 Bonanza Dr, Park City, UT 84060-5127 |
| Joshua Darrel Reid | Family Medicine | Ihc Health Services Inc | 1665 Bonanza Dr, Park City, UT 84060-5127 |
| Ronald H Lepley | Nurse Practitioner | Ihc Health Services Inc | 1665 Bonanza Dr, Park City, UT 84060-5127 |
| Jared Allen West | Family Medicine | Ihc Health Services Inc | 1665 Bonanza Dr, Park City, UT 84060-5127 |
| Natalie Brooke Hall | Family Medicine | Ihc Health Services Inc | 1665 Bonanza Dr, Park City, UT 84060-5127 |
| Christopher L Hays | Family Practice | Ihc Health Services Inc | 1665 Bonanza Dr, Park City, UT 84060-5127 |
| Nancy Bradish | Clinical Social Worker | 1700 Park Ave, Suite 2065, Park City, UT 84060-5162 | |
| Find all physicians in zip 84060 | |||
| City | PARK CITY |
| Zip Code | 84060 |
| Specialty | CHIROPRACTIC |
| City + Specialty | PARK CITY + CHIROPRACTIC |
Please comment or provide details below to improve the information on Nathan Jeremy 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.