Curtis Legrand Black, M.D.
Individual provider Active NPI Family Medicine Physician · Philomath, OR
NPI 1962522367 · NPPES record last updated Jun 25, 2014
Key facts
- NPI
- 1962522367
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 166825 (OR)
- Practice address
- 1219 Applegate St
Philomath, OR 97370-2031 - Phone
- (541) 929-2922
- NPI assigned
- Mar 30, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 53
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Medical College of Wisconsin, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- The Corvallis Clinic P C
Practice addresses (Care Compare)
444 NW Elks Dr
Corvallis, OR 97330-3745
Phone (541) 754-1150
Hospital & facility affiliations
- Mission Home Health of Salem
- First Call Home Health Agency, LLC
- Good Samaritan Regional Medical Center
- Samaritan Pacific Community Hospital
- Samaritan Albany General Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140908001223 | OR | Practitioner - Family Practice | 0446276117 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166825 | OR | MD | Family Medicine Physician |
| 59668451205 | UT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Corvallis Clinic P C | Current |
Accepting new patients | |
| Philomath Family Medicine, P.C. | Past | Accepting new patients |
Locations
444 NW Elks Dr
Corvallis, OR 97330
Phone (541) 754-1256
3680 NW Samaritan Dr
Corvallis, OR 97330
Phone (541) 754-1282
500 Main St
Philomath, OR 97370
Phone (541) 609-4071
Interoperability endpoints
- curtis.black.1@14349.direct.athenahealth.com
- https://api.platform.athenahealth.com/14349/brand/4/csg/42/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 59668451205 | UT | |
| Family Medicine Physician | 207Q00000X | 166825 | OR | Yes |
Addresses
Primary practice location
1219 Applegate St
Philomath, OR 97370-2031
Mailing address
1219 Applegate St
PO Box 460
Philomath, OR 97370-2031
Phone (541) 929-2922
Other providers in Philomath, OR
- Rosemary Ayres
- Charles F. Baker
- Taylor Bennion
- Benton County School Dist 17J
- Lawrence Austin Birch
- Elizabeth Bolte
- Rebecca Bricker
- Cassandra Anne Brown
- Lisa Burner
- Clear Path
All providers in Philomath, OR · Family Medicine Physician in Oregon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.