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DR. JASON W BLACK M.D. NPI 1245259902


NPI Information

NPI: 1245259902
Provider Name: DR. JASON W BLACK, M.D.
Classification: Family Medicine - 207QG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

PECOS Registration: Yes

Address:
6701 N CHARLES ST
STE 4105
BALTIMORE, MD
ZIP 21204
Phone: (443) 849-3184
Get Directions

DR. Jason W Black, M.D. is a geriatric medicine family medicine in Baltimore, MD with 28 years of experience. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. DR. Jason W Black, M.D. NPI is 1245259902. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Graduation Year:1996

The provider's business location address is:

6701 N CHARLES ST
STE 4105
BALTIMORE, MD
ZIP 21204-808
Phone: (443) 849-3184

The NPI 1245259902 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/19/2006 and was last updated on 12/21/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineD61199MARYLANDNo
2207QG0300XFamily MedicineGeriatric MedicineD61199MARYLANDYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1KJ15/64265301OTHERMARYLANDCAREFIRST MARYLAND GBMC
2725LJ701MEDICARE PINMARYLAND
3405540300MEDICAIDMARYLAND
4S1380079OTHERMARYLANDCAREFIRST REGIONAL GBMC
5P00149247MEDICARE PINMARYLAND
6P00218869MEDICARE PINMARYLAND
7H50685MEDICARE UPIN
8712L188776YBPGMEDICARE PINMARYLAND

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: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.