Individual provider Active NPI

Steven Asbury Black

  • Pediatrics Physician
  • Shippensburg, PA
National Provider Identifier
1174985519
Registry record updated Jan 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD468172 Issued in PA
Practice address
127 Walnut Bottom Rd
Shippensburg, PA 17257-8131
Phone
(717) 532-0175
NPI assigned
Mar 24, 2016
Last updated
Jan 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD468172 PA Primary

Addresses

Primary practice location

127 Walnut Bottom Rd
Shippensburg, PA 17257-8131

Mailing address

127 Walnut Bottom Rd
Shippensburg, PA 17257-8131
Phone (717) 532-0175

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sblack107284@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190813000259 PA Practitioner - Pediatric Medicine 3577850361 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Regional Physicians CurrentSince Jul 19, 2019 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jan 4, 2020 Accepting new patients
Pinnacle Health Medical Services CurrentSince Jan 4, 2020 Accepting new patients
Pinnacle Health Regional Physicians CurrentSince Jul 19, 2019 Accepting new patients
Pinnacle Health Medical Services Pediatrics Current Accepting new patients
Pinnacle Health Regional Physicians PastSince Jul 25, 2019 Accepting new patients
Children's Community Care Pediatrics Past Accepting new patients
Upmc Carlisle Past Accepting new patients

Locations

210 Forge Rd
Boiling Springs, PA 17007
Phone (717) 249-8300

1533 Commerce Ave
Ste 2
Carlisle, PA 17015
Phone (717) 796-9300

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

127 Walnut Bottom Rd
Shippensburg, PA 17257
Phone (717) 218-1820

Interoperability endpoints

  • Direct secure messaging: sblack281906@upmc.direct-ci.com

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1174985519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 WALNUT BOTTOM RD",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172578131",
            "telephone_number": "717-532-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 WALNUT BOTTOM RD",
            "city": "SHIPPENSBURG",
            "state": "PA",
            "postal_code": "172578131",
            "telephone_number": "717-532-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "STEVEN",
        "middle_name": "ASBURY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-24",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "PA",
            "license": "MD468172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sblack107284@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "127 Walnut Bottom Rd",
            "city": "Shippensburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "172578131",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Shippensburg, PA

Sources for this page

Verify at the official NPI Registry.