Janet L Black D P M P a

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

Legal business name

JANET L BLACK D P M P A

Practice address

3651 Lake Center Dr
Mount Dora, FL 32757-2364

Phone

(352) 385-9156

Fax

(352) 385-9159

NPI assigned

Jan 9, 2007

Last updated

Jun 25, 2015By 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

Janet L Black, DPMNPI 1386633410

Title

Owner

Phone

(352) 385-9156

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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.

• Janet L Black, DPM

  • Foot Surgery Podiatrist
  • Mount Dora, FL
  • NPI 1386633410
  Authorized official Same address or phone
• Massood Jallali, D.P.M.

  • Podiatrist
  • Davie, FL
  • NPI 1114122660
  NPD
• Bernadette Giangreco, DPM

  • Podiatrist
  • Fort Defiance, AZ
  • NPI 1235149733
  NPD
• Anna Marie Chwastiak, D.P.M.

  • Foot Surgery Podiatrist
  • Mount Dora, FL
  • NPI 1669716478
  NPD (past)
• Emily J Ernst, DPM

  • Foot & Ankle Surgery Podiatrist
  • Fleming Island, FL
  • NPI 1407019839
  NPD (past)

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435190400000",
    "number": "1891844270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3651 LAKE CENTER DR",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572364",
            "telephone_number": "352-385-9156",
            "fax_number": "352-385-9159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3651 LAKE CENTER DR",
            "city": "MOUNT DORA",
            "state": "FL",
            "postal_code": "327572364",
            "telephone_number": "352-385-9156",
            "fax_number": "352-385-9159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JANET L BLACK D P M P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2015-06-25",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-385-9156",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1891844270",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DF7049",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• J&T Divine Care
• Jack L Cassell M.D. P.a. (Urology of Mount Dora)
• Kimberly T Jackson, DO
• Jaime H Mejia MD PA
• Jaime Penix MD PA
• Ashley Michelle Jass, CD(DONA)
• Nasoni Jean-Paul
• Marlyne Jean-Pierre, M.S.
• Fritzlyn Laura Jean
• Hailey Kay Jeckovich I, RBT

• Primary Podiatric Medicine Podiatrist in Mount Dora, FL
• Providers in Mount Dora, FL by specialty
• Primary Podiatric Medicine Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.