Pamela O Black MD, P.a., Dba Quadra Health Institute

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA2014-0059 Issued in NM

Legal business name

PAMELA O BLACK MD, P.A., DBA QUADRA HEALTH INSTITUTE

Practice address

3820 Commons Ave NE # M
Albuquerque, NM 87109-5831

Phone

(505) 923-4401

NPI assigned

Oct 22, 2014

Last updated

Oct 22, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Pamela O Black, M.D.NPI 1629030390

Title

MD, P.a Dba Quadra Health Institue

Phone

(505) 923-4401

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Pamela O Black, MD

  • Physical Medicine & Rehabilitation Physician
  • Albuquerque, NM
  • NPI 1629030390
  NPD (past) Authorized official

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1336543115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25206",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871250206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 COMMONS AVE NE # M",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871095831",
            "telephone_number": "505-923-4401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA O BLACK MD, P.A., DBA QUADRA HEALTH INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MD, P.A DBA QUADRA HEALTH INSTITUE",
        "authorized_official_telephone_number": "505-923-4401",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "PA2014-0059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Palumbo, LCDC
• Rachael Olivia Palumbo
• Christina Pamatian, RHD
• Pamela Barrett Dom LLC
• Pamela O Black MD PA
• Eric Pan
• Ping Pan, M.D.
• Aiden Jake Pancer, MD
• Sujata Pandey
• Nancy Pandhi, MD

• Medical Physician Assistant in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Medical Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.