Yuill Black MD and Michael R Kletz MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

YUILL BLACK MD AND MICHAEL R KLETZ MD PC

Doing business as

Black and Kletz MD PC

Practice address

1420 Spring Hill Rd
Suite 350
McLean, VA 22102-3006

Phone

(703) 790-9722

Fax

(703) 893-8666

NPI assigned

Jul 13, 2006

Last updated

Oct 31, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Charlene A Devol

Title

Business Manager

Phone

(703) 790-9675

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Black and Kletz MD PC Doing business as

Medicare fee-for-service enrollment

Enrolled in DC, VA2 enrollments

Enrollment records 2

Locations

Practitioners 3

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.

• Appaji Gondi, M.D.

  • Allergy & Immunology Physician
  • McLean, VA
  • NPI 1174502132

  DC

  Medicare reassignment Care Compare group NPD
• Michael R Kletz, M.D.

  • Specialist
  • McLean, VA
  • NPI 1972521623

  DC

  Medicare reassignment Care Compare group NPD
• Asif Waqar Rafi, M.D.

  • Allergy & Immunology Physician
  • Los Angeles, CA
  • NPI 1265549455
  NPD (past)

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193788800000",
    "number": "1700802097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 SPRING HILL RD",
            "address_2": "SUITE 350",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221023006",
            "telephone_number": "703-790-9722",
            "fax_number": "703-893-8666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 SPRING HILL RD",
            "address_2": "SUITE 350",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221023006",
            "telephone_number": "703-790-9722",
            "fax_number": "703-893-8666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YUILL BLACK MD AND MICHAEL R KLETZ MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-10-31",
        "status": "A",
        "authorized_official_last_name": "DEVOL",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "703-790-9675",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "CD8485",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Black and Kletz MD PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Your Medical Doctor of Virginia, P.C.
• Fahd Yousaf, D.D.S
• Corinne Elizabeth Youse
• Melissa Youtzy, D.P.T.
• Raphael Yu
• Yulli Therapeutic Healing Center LLC
• Melissa Ann Yunes, AU.D.
• Maryann Zacharias
• Mersal Zaman
• Christopher John Zanetti, MD

• Specialist in McLean, VA
• Providers in McLean, VA by specialty
• Specialist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; 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.

Verify at the official NPI Registry.