Active NPI
Stephen T. Black, MD., PA
- Anesthesiology Physician
- Irving, TX
National Provider Identifier
1386949774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- J2501
- Legal business name
- STEPHEN T. BLACK, MD., PA
- Practice address
- 4204 Saint Andrews Blvd
Irving, TX 75038-6440 - Phone
- (214) 327-3468
- Fax
- (817) 877-0350
- NPI assigned
- Jan 17, 2011
- 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. Stephen T. Black, MD
- Title
- Owner
- Phone
- (214) 770-6300
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | J2501 | TX | Primary |
Addresses
Primary practice location
4204 Saint Andrews Blvd
Irving, TX 75038-6440
Mailing address
PO Box 226741
Dallas, TX 75222-6741
Phone (888) 854-3822
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1427010289
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295222400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296777600000",
"number": "1386949774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 226741",
"city": "DALLAS",
"state": "TX",
"postal_code": "752226741",
"telephone_number": "888-854-3822",
"fax_number": "817-877-0350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4204 SAINT ANDREWS BLVD",
"city": "IRVING",
"state": "TX",
"postal_code": "750386440",
"telephone_number": "214-327-3468",
"fax_number": "817-877-0350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEPHEN T. BLACK, MD., PA",
"organizational_subpart": "NO",
"enumeration_date": "2011-01-17",
"last_updated": "2011-02-04",
"status": "A",
"authorized_official_last_name": "BLACK",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "214-770-6300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "TX",
"license": "J2501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.