Thomas Black
M.D. | Pediatrics | Male
Thomas Black, M.D. is a Buffalo, New York based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Thomas Black is
1001 Main St Fl 4, Buffalo, New York - 14203-1009. He can be contacted on phone at
716-323-0034 and fax number 716-323-0292.
Thomas Black is a sole proprietor of his business.
NPI number (Unique professional ID) for Thomas Black is
1508838871 which was assigned by NPPES on 02 Feb, 2006 and it was last updated on 18 Oct, 2021.
Thomas Black license number is
232292 for Pediatrics (208000000X) in New York.
Thomas 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:
Thomas Black basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Thomas Black |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Thomas 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 : | 1001 Main St Fl 4
Buffalo, NY, 14203-1009
United States |
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| Phone Number : | 716-323-0034 |
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| Fax Number : | 716-323-0292 |
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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 : | 1508838871 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 02 Feb, 2006 |
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| Last Updated On : | 18 Oct, 2021 |
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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 Thomas Black are as mentioned. Primary taxonomy code for Thomas Black, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 232292 | NY |
| 208000000X | Pediatrics | No | 86636 | SC |
Legacy Identifiers:
Other legacy medical identifiers of Thomas Black such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 00026910202 | Other | | UNIVERA |
| 070804000017 | Other | | FIDELIS |
| 000527733001 | Other | NY | BLUE CROSS BLUE SHIELD |
| 000527733002 | Other | | BC/BS |
| 00026910201 | Other | NY | UNIVERA HEALTHCARE |
| 02577360 | MEDICAID | NY | |
| 1212594 | Other | | IHA |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
14 RICHLAND MEDICAL PARK DR STE 400,
COLUMBIA, SC, 29203-6878
United States | COLUMBIA, SC | 803-434-7945 |
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 : | 1001 Main St Fl 5
Buffalo, NY, 14203-1009
United States |
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| Phone Number : | 716-323-0034 |
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| Fax Number : | 716-323-0292 |
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Business Location:
Patients can refer following map for directions to
Thomas 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.