Frank Dugger Black, MD
Individual provider Active NPI Emergency Medicine Physician · Shelbyville, IN
NPI 1649201005 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1649201005
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 22678 (IN)
- Practice address
- 150 W Washington St
Major Hospital
Shelbyville, IN 46176 - Phone
- (317) 398-5275
- NPI assigned
- Jul 5, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
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 |
|---|---|---|---|
| 22678 | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenway Trail Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| County Seat Emergency Physicians LLC | Emergency Medicine | Past | Accepting new patients |
| Midwest Medical Management, P.C. | Emergency Medicine | Past | Accepting new patients |
| Icem, LLC | Emergency Medicine | Past | Accepting new patients |
| Midwest Medical Management, P.C. | Emergency Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 22678 | IN | Yes |
Addresses
Primary practice location
150 W Washington St
Major Hospital
Shelbyville, IN 46176
Mailing address
5366 Lava Lane
Indianapolis, IN 46237-3042
Phone (317) 782-0111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BB5105766 | Other | IN | BNDD |
| 01022678D | Other | IN | CDS CERT |
| 200164090 | Medicaid | IN |
Other providers in Shelbyville, IN
- Darla Denise Benson
- Bespoke Counseling Services
- Danielle Claire Bessette-Galley
- Catherine Anne Beyer
- Jonathan Bielefeld
- Lindsay Renee Black
- Amy Nicole Blair
- Peyton Blount
- Blue River Counseling & Wellness, LLC
- Blue River Counseling Associates Inc
All providers in Shelbyville, IN · Emergency Medicine Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.