Jerry N Black (NPI# 1548373335, PAC ID# 9739129933) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1548373335 |
| PAC ID by PECOS | 9739129933 |
| Professional Enrollment ID | I20110120000504 |
| Full Name | Jerry N Black |
| Address |
10 Amalia Dr Suite C3 Buckhannon WV 26201-2271 |
| Gender | M |
| Medical School | UNIVERSITY OF MIAMI SCHOOL OF MEDICINE |
| Graduation Year | 1972 |
| Primary Specialty | OPHTHALMOLOGY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 511321 | ST JOSEPH'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 10 Amalia Dr, Suite C3, Buckhannon, WV 26201-2271 |
| Street Address |
10 AMALIA DR SUITE C3 |
| City | BUCKHANNON |
| State | WV |
| Zip | 26201-2271 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry E Williams | Optometry | 10 Amalia Dr, Suite C1, Buckhannon, WV 26201-2271 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Salam Rajjoub | Pulmonary Disease | 2 Amalia Dr, Buckhannon, WV 26201-2223 | |
| Ali A Khan | Internal Medicine | Associated Specialists, Inc | 2 Hartman Plz, Buckhannon, WV 26201-2230 |
| Tiffany Leann Carr | Nurse Practitioner | West Virginia Gastroenterology and Endoscopy | 11 N Locust St, Buckhannon, WV 26201-2231 |
| Michelle Lynn Ratnakar | Physician Assistant | West Virginia Gastroenterology and Endoscopy | 11 N Locust St, Buckhannon, WV 26201-2231 |
| Harold D Zorger | Podiatry | Davis Memorial Hospital | 11 N Locust St, Buckhannon, WV 26201-2231 |
| Catherine M Chua | Family Medicine | Davis Memorial Hospital | 11 N Locust St, Buckhannon, WV 26201-2231 |
| Kessa Dawn Thorpe | Physician Assistant | Davis Memorial Hospital | 11 N Locust St, Buckhannon, WV 26201-2231 |
| Steven R Toney | Family Medicine | Davis Memorial Hospital | 11 N Locust St, Buckhannon, WV 26201-2231 |
| Deborah L Chadwick | General Surgery | Davis Memorial Hospital | 11 N Locust St, Buckhannon, WV 26201-2231 |
| Garrett L Butler | Family Medicine | Davis Memorial Hospital | 11 N Locust St, Buckhannon, WV 26201-2231 |
| Find all physicians in zip 26201 | |||
| City | BUCKHANNON |
| Zip Code | 26201 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | BUCKHANNON + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on Jerry 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.