Judy Black
M.D. | Pediatrics | Female
Judy Black, M.D. is a Grants Pass, Oregon based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Judy Black is
495 Sw Ramsey Ave, Grants Pass, Oregon - 97527-5681. She can be contacted on phone at
541-476-6644 and fax number 541-472-5673.
Judy Black is a sole proprietor of her business.
NPI number (Unique professional ID) for Judy Black is
1770786667 which was assigned by NPPES on 07 Jun, 2007 and it was last updated on 19 Mar, 2015.
Judy Black license number is
MD 170104 for Pediatrics (208000000X) in Oregon.
Judy 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:
Judy Black basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Judy Black |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Judy 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 : | 495 Sw Ramsey Ave
Grants Pass, OR, 97527-5681
United States |
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| Phone Number : | 541-476-6644 |
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| Fax Number : | 541-472-5673 |
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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 : | 1770786667 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 07 Jun, 2007 |
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| Last Updated On : | 19 Mar, 2015 |
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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 Judy Black are as mentioned. Primary taxonomy code for Judy Black, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 202C00000X | Independent Medical Examiner | No | 036113715 | IL |
| 208000000X | Pediatrics | No | 036113715 | IL |
| 208000000X | Pediatrics | Yes | MD 170104 | OR |
Legacy Identifiers:
Other legacy medical identifiers of Judy Black such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 036113715 | MEDICAID | IL | |
| 500680833 | MEDICAID | OR | |
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 : | 495 Sw Ramsey Ave
Grants Pass, OR, 97527-5681
United States |
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| Phone Number : | 541-476-6644 |
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| Fax Number : | 541-472-5673 |
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Business Location:
Patients can refer following map for directions to
Judy 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.