Susan Harriet Black, MD

Primary specialty

Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X

License

0101039820 Issued in VA

Practice address

106 Irving St NW
Pob #3800 North Washington Hospital Center
Washington, DC 20010-2975

Phone

(202) 877-6093

Fax

(202) 877-8695

NPI assigned

Jul 12, 2006

Last updated

Feb 27, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Washington Hospital Center Corporation

  • Psychiatric Hospital
  • Washington, DC
  • NPI 1881701217
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330300800000",
    "number": "1104851765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 418498",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022418498",
            "telephone_number": "703-558-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 IRVING ST NW",
            "address_2": "POB #3800 NORTH WASHINGTON HOSPITAL CENTER",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200102975",
            "telephone_number": "202-877-6093",
            "fax_number": "202-877-8695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "SUSAN",
        "middle_name": "HARRIET",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-12",
        "last_updated": "2012-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "VA",
            "license": "0101039820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oprah Mari Charran Black
• Parys Black
• Rachel Black, LICSW, LCSW
• Rochelle Black
• Sueann Black
• Taylor Black
• Tenisha Black
• Whithey Latoya Black
• Martha Blackford
• Marc Roy Blackman, M.D.

• Clinical Genetics (M.D.) Physician in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Genetics (M.D.) Physician in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.