NPI Details
DR. Charles Henry Black, D.O. is an orthopaedic surgery in Laurel, MS with 20 years of experience. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. DR. Charles Henry Black, D.O. NPI is 1790988087. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduation Year:2006
The provider's business location address is:
1002 JEFFERSON ST.
SUITE 350
LAUREL, MS
ZIP 39440-306
Phone: (601) 649-5990
Fax: (601) 425-7510
The NPI 1790988087 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 following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Injection, methylprednisolone acetate, 40 mg (HCPCS:J1030)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- X-ray of knee, 1-2 views (HCPCS:73560)
- X-ray of hip, 2-3 views (HCPCS:73502)
- Aspiration and/or injection of fluid from large joint (HCPCS:20610)
- X-ray of wrist, 2 views (HCPCS:73100)
- X-ray of knee, 3 views (HCPCS:73562)
- Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
- X-ray of shoulder, minimum of 2 views (HCPCS:73030)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Hip replacement (HCPCS:NAN09)
- Knee replacement (HCPCS:NAN06)
- Lower limb (leg) arthroscopy (minimally invasive joint repair) (HCPCS:NAN15)
The enumeration date for this NPI number is 6/6/2007 and was last updated on 1/6/2020.
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 Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207X00000X | Orthopaedic Surgery | | 23113 | MISSISSIPPI | Yes |
| 2 | 207X00000X | Orthopaedic Surgery | | 5101016776 | MICHIGAN | No |
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 Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 08107236 | MEDICAID | MISSISSIPPI | |
