Active NPI
Steven R Black MD
- Internal Medicine Physician
- Sylva, NC
National Provider Identifier
1053488049
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 20050976
- Legal business name
- STEVEN R BLACK MD
- Practice address
- 98A Cope Creek Road
Sylva, NC 28779 - Phone
- (828) 586-7925
- Fax
- (828) 586-7926
- NPI assigned
- Nov 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steven R Black, MD
- Title
- Owner
- Phone
- (828) 586-7925
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 20050976 | NC | Primary |
| Psychiatry Physician | 2084P0800X | 20050976 | NC |
Addresses
Primary practice location
98A Cope Creek Road
Sylva, NC 28779
Mailing address
PO Box 2286
Sylva, NC 28779-2286
Phone (828) 586-7925
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5901153 | Medicaid | NC | |
| 141WW | Other | NC | BCBS-IND. |
Other names 1
- Mountain View Physicians
National Provider Directory
National Provider Directory- Tax ID family
- Mountain View Physicians
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Psychiatry Physician
- Sylva, NC
- NPI 1275697047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1193011200000",
"number": "1053488049",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2286",
"city": "SYLVA",
"state": "NC",
"postal_code": "287792286",
"telephone_number": "828-586-7925",
"fax_number": "828-586-7926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "98A COPE CREEK ROAD",
"city": "SYLVA",
"state": "NC",
"postal_code": "28779",
"telephone_number": "828-586-7925",
"fax_number": "828-586-7926"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVEN R BLACK MD",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-29",
"last_updated": "2007-10-22",
"status": "A",
"authorized_official_last_name": "BLACK",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "828-586-7925",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NC",
"license": "20050976",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "20050976",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5901153",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS-IND.",
"identifier": "141WW",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mountain View Physicians",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Sylva, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.