JAMES D BLACK NPI 1871761601

NPI Information

NPI: 1871761601
Provider Name: JAMES D BLACK
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
18010 MACK AVE
GROSSE POINTE, MI
ZIP 48230
Phone: (313) 882-7480
Get Directions

JAMES D BLACK is a foot and ankle surgery podiatrist in Grosse Pointe, MI. JAMES D BLACK NPI is 1871761601. The provider is registered as an organization entity type.

The provider's business location address is:

18010 MACK AVE
GROSSE POINTE, MI
ZIP 48230-235
Phone: (313) 882-7480
Fax: (248) 652-3401

The provider's authorized official is James D Black .
The authorized official title is Podiatrist/owner and has the following contact phone number (313) 882-7480.

The enumeration date for this NPI number is 2/14/2008 and was last updated on 8/28/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		JB001105	MICHIGAN	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	485635035	OTHER	MICHIGAN	BCBSM
2	5635035	OTHER	MICHIGAN	PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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