Active NPI
Erin Black, MD PLLC
- Clinic/Center
- Gainesville, FL
National Provider Identifier
1649924630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- Legal business name
- ERIN BLACK, MD PLLC
- Practice address
- 6801 NW 9TH Blvd Ste 2
Gainesville, FL 32605-4263 - Phone
- (352) 514-5829
- NPI assigned
- Feb 8, 2022
- Last updated
- Feb 8, 2022
- 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. Erin Black, M.D.
- Title
- Owner
- Phone
- (352) 514-5829
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 |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Primary |
Addresses
Primary practice location
6801 NW 9TH Blvd Ste 2
Gainesville, FL 32605-4263
Mailing address
5408 SW 93Rd Ter
Gainesville, FL 32608-4327
Phone (352) 514-5829
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6801 NW 9th Blvd
Ste 2
Gainesville, FL 32605
Phone (352) 331-3401
Practitioners & affiliated clinicians
Practitioners 5
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.
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- Ophthalmic Plastic and Reconstructive Surgery Physician
- Gainesville, FL
- NPI 1831419068
-
- Surgery Physician
- Gainesville, FL
- NPI 1023276037
-
- Plastic and Reconstructive Surgery Physician
- Gainesville, FL
- NPI 1780707299
-
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Gainesville, FL
- NPI 1528013513
-
- Plastic Surgery Physician
- Gainesville, FL
- NPI 1285682393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1644278400000",
"number": "1649924630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5408 SW 93RD TER",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326084327",
"telephone_number": "352-514-5829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6801 NW 9TH BLVD STE 2",
"city": "GAINESVILLE",
"state": "FL",
"postal_code": "326054263",
"telephone_number": "352-514-5829"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ERIN BLACK, MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-08",
"last_updated": "2022-02-08",
"certification_date": "2022-02-08",
"status": "A",
"authorized_official_last_name": "BLACK",
"authorized_official_first_name": "ERIN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "352-514-5829",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gainesville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.