Stefan R Black (NPI# 1114082401, PAC ID# 6507943974) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CHIROPRACTIC.
| Nation Provider ID (NPI) | 1114082401 |
| PAC ID by PECOS | 6507943974 |
| Professional Enrollment ID | I20080409000469 |
| Full Name | Stefan R Black |
| Address |
9150 Fortuna Dr Mercer Island WA 98040-3133 |
| Gender | M |
| Medical School | WESTERN STATES COLLEGE OF CHIROPRACTIC |
| Graduation Year | 2002 |
| Primary Specialty | CHIROPRACTIC |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 9150 Fortuna Dr, Mercer Island, WA 98040-3133 | ||
| 8827 31st Ave Sw, Suite 1, Seattle, WA 98126-3718 |
| Street Address |
9150 FORTUNA DR |
| City | MERCER ISLAND |
| State | WA |
| Zip | 98040-3133 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Leonard L Leimbach | Physician Assistant | Swedish Health Services | 7707 Se 27th St, Mercer Island, WA 98040-2844 |
| Brenda L Newman | Dermatology | Dermatology Clinic Pllc | 7707 Se 27th St, Suite 104, Mercer Island, WA 98040-2844 |
| Rachel A Garton | Dermatology | Dermatology Clinic Pllc | 7707 Se 27th St, Suite 104, Mercer Island, WA 98040-2844 |
| Amanda B Ginovsky | Nurse Practitioner | Swedish Health Services | 7707 Se 27th St, Mercer Island, WA 98040-2844 |
| Nancy E Douglas | Physician Assistant | Swedish Health Services | 7707 Se 27th St, Mercer Island, WA 98040-2844 |
| Michelle E Meako | Nurse Practitioner | John H Addison Md Ps | 7707 Se 27th St, Mercer Island, WA 98040-2844 |
| Jeffrey D Stetson | Chiropractic | 7605 Se 27th St, Suite 103, Mercer Island, WA 98040-2852 | |
| Roland Barach | Psychologist, Clinical | Roland I Barach Phd Ps | 2448 76th Ave S E, 207 Roland Barach Phd Ps, Mercer Island, WA 98040-2910 |
| Robert C Goode | Family Medicine | 8015 Se 28th St, Suite 310, Mercer Island, WA 98040-2910 | |
| Phyllis E Fiedler | Psychologist, Clinical | Roland I Barach Phd Ps | 2448 76th Ave S E, 207 Roland Barach Phd Ps, Mercer Island, WA 98040-2910 |
| Find all physicians in zip 98040 | |||
| City | MERCER ISLAND |
| Zip Code | 98040 |
| Specialty | CHIROPRACTIC |
| City + Specialty | MERCER ISLAND + CHIROPRACTIC |
Please comment or provide details below to improve the information on Stefan R 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.