Thomas J Black, MD

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

ME36561 Issued in FL

Practice address

10000 Bay Pines Blvd
Bay Pines Vamc
Bay Pines, FL 33744

Phone

(727) 398-6661

Fax

(727) 398-9575

NPI assigned

Mar 22, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Radiology Associates of Tampa PA

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1437351988
  NPD (past)
• Tower Imaging LLC

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1467654244
  NPD (past)
• Tower Imaging LLC

  • Diagnostic Radiology Physician
  • Lutz, FL
  • NPI 1629218573
  NPD (past)
• Tower Imaging LLC

  • Diagnostic Radiology Physician
  • Spring Hill, FL
  • NPI 1669267134
  NPD (past)

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

{
    "created_epoch": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197936000000",
    "number": "1427017805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POBOX 5005",
            "address_2": "BAY PINES VAMC 114",
            "city": "BAY PINES",
            "state": "FL",
            "postal_code": "33744",
            "telephone_number": "727-398-6661",
            "fax_number": "727-398-9575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10000 BAY PINES BLVD",
            "address_2": "BAY PINES VAMC",
            "city": "BAY PINES",
            "state": "FL",
            "postal_code": "33744",
            "telephone_number": "727-398-6661",
            "fax_number": "727-398-9575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2007-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME36561",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME36561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Catherine Biondo, RD, CNSC
• Mariane Bishara, MD
• Brittany Lea Bishop, PHARMD
• Larry Black, BCC-H/PC
• Laurie Ann Black, PH.D.
• Silvio E Blanco III, M.D.
• Dylan Ryan Blosser, PT, DPT
• Teresa Irene Bobo
• Carolyn W Boddie, PHARMACIST
• Donna J Boman, ARNP

• Vascular & Interventional Radiology Physician in Bay Pines, FL
• Providers in Bay Pines, FL by specialty
• Vascular & Interventional Radiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2007; 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.