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DR. MATTHEW ROGER BLACK NPI 1437339900


NPI Information

NPI: 1437339900
Provider Name: DR. MATTHEW ROGER BLACK
Classification: Emergency Medicine - 207P00000X
Entity Type: Individual
Address:
12500 WILLOWBROOK RD
CUMBERLAND, MD
ZIP 21502
Phone: (124) 096-4120
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DR. Matthew Roger Black is an emergency medicine in Cumberland, MD. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. DR. Matthew Roger Black NPI is 1437339900. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12500 WILLOWBROOK RD
CUMBERLAND, MD
ZIP 21502-393
Phone: (124) 096-4120

The enumeration date for this NPI number is 11/13/2007 and was last updated on 2/15/2010.


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
1207P00000XEmergency MedicineHOO69899MARYLANDNo
2207P00000XEmergency Medicine5101015934MICHIGANYes

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
1171128Y1ZMEDICARE 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.