Angela Pilcher Black, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

L6792 Issued in TX

Practice address

601B Leah Ave
Suite B
San Marcos, TX 78666-7849

Phone

(512) 392-1700

Fax

(512) 396-8743

NPI assigned

Dec 1, 2006

Last updated

Sep 16, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ascension Seton

  dba Ascension Seton Lockhart Health Center

  • Rural Health Clinic/Center
  • Lockhart, TX
  • NPI 1235234576
  NPD (past)

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316131200000",
    "number": "1972671733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 MOUNTAIN VIEW DR",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786664937",
            "telephone_number": "512-396-0680",
            "fax_number": "512-396-9836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601B LEAH AVE",
            "address_2": "SUITE B",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786667849",
            "telephone_number": "512-392-1700",
            "fax_number": "512-396-8743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "ANGELA",
        "middle_name": "PILCHER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2011-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L6792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147758001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anita Bhagavathula, DO
• Sarikaben Pravin Bhakta, P.T.
• Rahim Bhaloo, O.D.
• Justin Bickford, PT, DPT, OCS
• Lindsay Arlene Bisby, PMHNP-BC
• Caitlin Blackmore
• Bianca Blackstone
• Michael Montgomery Blair, D.O.
• Ashlee Marie Blakley, DPT
• Ashlyn Blakley

• Pediatrics Physician in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2011; 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.

Verify at the official NPI Registry.