David J. Black, MD, LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

DAVID J. BLACK, MD, LLC

Practice address

1500 Albany St
Suite 702
Beech Grove, IN 46107-1555

Phone

(317) 787-6566

Fax

(317) 782-6966

NPI assigned

May 22, 2007

Last updated

Nov 6, 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

Dr. David J. Black, M.D.NPI 1841400371

Title

Owner

Phone

(317) 787-6566

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• David J Black, M.D.

  • Gastroenterology Physician
  • Whiteland, IN
  • NPI 1841400371
  Authorized official Same address or phone
• George Simon Goetz, MD

  • Gastroenterology Physician
  • Martins Ferry, OH
  • NPI 1366509978
  NPD (past)

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

{
    "created_epoch": "1179792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1891904322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 ALBANY ST",
            "address_2": "SUITE 702",
            "city": "BEECH GROVE",
            "state": "IN",
            "postal_code": "461071555",
            "telephone_number": "317-787-6566",
            "fax_number": "317-782-6966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 ALBANY ST",
            "address_2": "SUITE 702",
            "city": "BEECH GROVE",
            "state": "IN",
            "postal_code": "461071555",
            "telephone_number": "317-787-6566",
            "fax_number": "317-782-6966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID J. BLACK, MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-22",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "BLACK",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-787-6566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer E Carson, PHARMACIST
• Kathryn Rose Chappell, PHARM.D.
• City of Beech Grove (Beech Grove EMS)
• Ashley Nicole Cole
• Kathleen Lynn Cowden, R.D.
• Chad Eric Deerberg
• Barbara Dempsey
• Jeri Dine, ANP
• Georgia K Dorulla, MD
• Doug Taylor Prosthetics Inc (O & P Composites)

• Gastroenterology Physician in Beech Grove, IN
• Providers in Beech Grove, IN by specialty
• Gastroenterology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.