Active NPI
Howard M Black, MD
- Orthopaedic Trauma Physician
- Plattsburgh, NY
National Provider Identifier
1871500124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Trauma Physician
- License
- 129218
- Practice address
- 96 Court St
Plattsburgh, NY 12901-2733 - Phone
- (518) 563-8822
- Fax
- (518) 562-3316
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Trauma Physician | 207XX0801X | 129218 | NY | Primary |
Addresses
Primary practice location
96 Court St
Plattsburgh, NY 12901-2733
Mailing address
96 Court St
Plattsburgh, NY 12901-2733
Phone (518) 563-8822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00643105 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Champlain Valley Physicians Hospital Medical Center | Current | Accepting new patients | |
| Alice Hyde Medical Center | Current | Accepting new patients | |
| Alice Hyde Medical Center | Current | Accepting new patients | |
| Alice Hyde Medical Center | Past | Accepting new patients |
Locations
187 Park St
#2
Malone, NY 12953
Phone (518) 481-2490
969 State Route 11
Moira, NY 12957
Phone (518) 529-7847
75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100
Interoperability endpoints
- hblack182596@direct.uvmhealth.org
Organizations & group practices 4
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.
-
- Critical Access Hospital
- Malone, NY
- NPI 1114954682
-
- Internal Medicine Physician
- Plattsburgh, NY
- NPI 1124189782
-
- General Practice Physician
- Malone, NY
- NPI 1568735660
-
- Skilled Nursing Facility
- Malone, NY
- NPI 1356441349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189987200000",
"number": "1871500124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "96 COURT ST",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129012733",
"telephone_number": "518-563-8822",
"fax_number": "518-562-3316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "96 COURT ST",
"city": "PLATTSBURGH",
"state": "NY",
"postal_code": "129012733",
"telephone_number": "518-563-8822",
"fax_number": "518-562-3316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACK",
"first_name": "HOWARD",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2007-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "NY",
"license": "129218",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00643105",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plattsburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.