John Hunter Black, MD
Individual provider Active NPI Internal Medicine Physician · Morehead, KY
NPI 1487618138 · NPPES record last updated Oct 15, 2010
Key facts
- NPI
- 1487618138
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 13171 (KY)
- Practice address
- 222 Medical Circle
Morehead, KY 40351-1181 - Phone
- (606) 783-6808
- Fax
- (606) 783-6906
- NPI assigned
- Apr 12, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13171 | KY | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 13171 | KY | Yes |
Addresses
Primary practice location
222 Medical Circle
Morehead, KY 40351-1181
Mailing address
222 Medical Circle
Morehead, KY 40351-1181
Phone (606) 783-6808
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64131717 | Medicaid | KY |
Other providers in Morehead, KY
- Ashley Elizabeth Berry
- Chassity Betzing
- Jacob Andrew Bingham
- Bio-Medical Applications of Kentucky, Inc.
- Black & Carpenter PSC
- Gabrielle Blackburn
- Shane Blackburn
- Keith Blankenbeckler
- Cynthia Jo Blankenship
- Olivia Blatt
All providers in Morehead, KY · Internal Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 15, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.