Keith N Black (NPI# 1386668267, PAC ID# 7719984533) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OSTEOPATHIC MANIPULATIVE MEDICINE.
| Nation Provider ID (NPI) | 1386668267 |
| PAC ID by PECOS | 7719984533 |
| Professional Enrollment ID | I20100527000196 |
| Full Name | Keith N Black |
| Organization Legal Name | PAMPA MEDICAL DEVELOPMENT ASSOCIATES INC |
| Address |
916 N Crest Rd Family Care Clinic of Pampa Pampa TX 79065-2798 |
| Phone Number | 8066880243 |
| Gender | M |
| Medical School | KIRKSVILLE COLLEGE OF OSTEOPATHIC MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | OSTEOPATHIC MANIPULATIVE MEDICINE |
| Group Practice PAC ID | 8729360888 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450099 | PAMPA REGIONAL MEDICAL CENTER |
| 450231 | BAPTIST ST ANTHONY'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 916 N Crest Rd, Family Care Clinic of Pampa, Pampa, TX 79065-2798 | 8066880243 | PAMPA MEDICAL DEVELOPMENT ASSOCIATES INC |
| Organization Legal Name | PAMPA MEDICAL DEVELOPMENT ASSOCIATES INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teri Pay | Nurse Practitioner | Pampa Medical Development Associates Inc | 916 N Crest Rd, Family Care Clinic of Pampa, Pampa, TX 79065-2798 |
| Street Address |
916 N CREST RD FAMILY CARE CLINIC OF PAMPA |
| City | PAMPA |
| State | TX |
| Zip | 79065-2798 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Teri Pay | Nurse Practitioner | Pampa Medical Development Associates Inc | 916 N Crest Rd, Family Care Clinic of Pampa, Pampa, TX 79065-2798 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Connie Mccoy | Nurse Practitioner | Spmg Signature Pampa Medical Group | 3023 Perryton Pkwy, Suite 101, Pampa, TX 79065-2817 |
| Micah R Bosley | Family Medicine | Spmg Signature Pampa Medical Group | 3023 Perryton Pkwy, Suite 101, Pampa, TX 79065-2817 |
| Brenda S Mccullough | Nurse Practitioner | Spmg Signature Pampa Medical Group | 3023 Perryton Pkwy, Suite 101, Pampa, TX 79065-2817 |
| Jeff Kuo | Pediatric Medicine | Spmg Signature Pampa Medical Group | 3023 Perryton Pkwy, Suite 206, Pampa, TX 79065-2817 |
| Vanessa Workman | Nurse Practitioner | Spmg Signature Pampa Medical Group | 3023 Perryton Pkwy, Suite 101, Pampa, TX 79065-2817 |
| Suzanne Presson | Nurse Practitioner | Spmg Signature Pampa Medical Group | 3023 Perryton Pkwy, Suite 201, Pampa, TX 79065-2817 |
| Bobby W Smith | General Surgery | Spmg Signature Pampa Medical Group | 3023 Perryton Pkwy, Suite 101, Pampa, TX 79065-2817 |
| Kevin D Sieck | Internal Medicine | Spmg Signature Pampa Medical Group | 3023 Perryton Pkwy, Suite 101, Pampa, TX 79065-2817 |
| Sean A Le | Certified Registered Nurse Anesthetist (crna) | Spmg Signature Pampa Medical Group | 3023 Perryton Pkwy, Pampa, TX 79065-2817 |
| Luke R Hinshaw | Internal Medicine | Spmg Signature Pampa Medical Group | 3023 Perryton Pkwy, Pampa, TX 79065-2817 |
| Find all physicians in zip 79065 | |||
| City | PAMPA |
| Zip Code | 79065 |
| Specialty | OSTEOPATHIC MANIPULATIVE MEDICINE |
| City + Specialty | PAMPA + OSTEOPATHIC MANIPULATIVE MEDICINE |
Please comment or provide details below to improve the information on Keith N 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.