Black Jones Healthcare, PC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

BLACK JONES HEALTHCARE, PC

Doing business as

Good Shepherd Pediatrics

Practice address

1873 Williams Hwy Ste 1B
Grants Pass, OR 97527-5843

Phone

(541) 234-8300

NPI assigned

May 11, 2024

Last updated

May 11, 2024By 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

Dr. Judy Kristine Black, MDNPI 1770786667

Title

President

Phone

(541) 659-3986

Specialties & licenses 1

Addresses

Other names 1

• Good Shepherd Pediatrics Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Judy Black, M.D.

  • Pediatrics Physician
  • Roseburg, OR
  • NPI 1770786667
  NPD Authorized official

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

{
    "created_epoch": "1715385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715385600000",
    "number": "1386492569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1873 WILLIAMS HWY STE 1B",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1873 WILLIAMS HWY STE 1B",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275843",
            "telephone_number": "541-234-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLACK JONES HEALTHCARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-11",
        "last_updated": "2024-05-11",
        "certification_date": "2024-05-11",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "KRISTINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "541-659-3986",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Good Shepherd Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregory Nelson Bigelow, D.M.D.
• Cody Biller, PHARMD
• Zoe Ava Ann Billings
• Karl Jay Bischoff, MD
• Shannon Renae Bjarnson
• Miranda Black, L.AC.
• Jennifer E Blackmon
• Ricci Blackmon
• Blake K Anderson DMD LLC (A Street Dental)
• Blanchard Counseling Services LLC

• Pediatrics Physician in Grants Pass, OR
• Providers in Grants Pass, OR by specialty
• Pediatrics Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.