Dr. Colleen Rochelle Black
MD | Pediatrics | Female
Dr. Colleen Rochelle Black, MD is a Harrisburg, North Carolina based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Colleen Rochelle Black is
6555 Kee Ln Ste 200, Harrisburg, North Carolina - 28075-7463. She can be contacted on phone at
704-316-6140 and fax number 704-316-6141.
Dr. Colleen Rochelle Black is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Colleen Rochelle Black is
1508032194 which was assigned by NPPES on 02 May, 2008 and it was last updated on 26 Oct, 2020.
Dr. Colleen Rochelle Black license number is
2008-00927 for Pediatrics (208000000X) in North Carolina.
Dr. Colleen Rochelle Black is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Colleen Rochelle Black basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Colleen Rochelle Black |
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| Credential : | MD |
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| Gender : | Female |
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Business Address:
Dr. Colleen Rochelle Black address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 6555 Kee Ln Ste 200
Harrisburg, NC, 28075-7463
United States |
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| Phone Number : | 704-316-6140 |
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| Fax Number : | 704-316-6141 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1508032194 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 02 May, 2008 |
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| Last Updated On : | 26 Oct, 2020 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Colleen Rochelle Black are as mentioned. Primary taxonomy code for Dr. Colleen Rochelle Black, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 2008-00927 | NC |
Legacy Identifiers:
Other legacy medical identifiers of Dr. Colleen Rochelle Black such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 5916285 | MEDICAID | NC | |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
9550 ROCKY RIVER RD STE 150,
CHARLOTTE, NC, 28215-9592
United States | CHARLOTTE, NC | 704-316-6140 |
1918 RANDOLPH RD STE 700,
CHARLOTTE, NC, 28207
United States | CHARLOTTE, NC | 704-384-1056 |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
DIRECT
(Direct Messaging Address) | cblack566317@direct.novanthealth.org
| No affiliation |
|
| 1918 RANDOLPH RD STE 700,
CHARLOTTE, NC, 28207
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 60447
Charlotte, NC, 28260-0447
United States |
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| Phone Number : | 844-266-8268 |
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Business Location:
Patients can refer following map for directions to
Dr. Colleen Rochelle Black practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.