- Practice location
- 6701 N Charles St, Ste 4105, Baltimore, MD 21204-6808
- Phone
- 443-849-3184
- Fax
- —
- Last updated
- December 21, 2011
Jason W Black is a Family Medicine, Geriatric Medicine based in Baltimore, MD. Jason W Black practices in Baltimore, MD and has the professional credentials of MD. The NPI Number for Jason W Black is 1245259902 and holds a License No. D61199 (MD). The current practice location address for Jason W Black is 6701 N Charles St, Ste 4105, Baltimore, MD 21204-6808 and can be reached out via phone at 443-849-3184.
Provider Profile Details
- NPI Number
- 1245259902
- Provider Name
- Jason W Black
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 6701 N Charles St, Ste 4105, Baltimore, MD 21204-6808
- Phone Number
- 443-849-3184
- Primary Taxonomy
- Family Medicine, Geriatric Medicine · 207QG0300X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 19, 2006
- Last Update Date
- December 21, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 6701 N Charles St
Ste 4105
Baltimore, MD 21204-6808 - City
- Baltimore
- State
- Maryland
- Zip
- 21204-6808
- Phone Number
- 443-849-3184
Provider Business Mailing Address Details
- Address
- Po Box 41895
Boston, MA 02241-8953 - City
- Boston
- State
- MA
- Zip
- 02241-8953
License Information
- License Number (1)
- D61199
- License State (1)
- MD
- Taxonomy (1)
- Family Medicine · 207Q00000X
- License Number (2)
- D61199
- License State (2)
- MD
- Taxonomy (2)
- Family Medicine, Geriatric Medicine · 207QG0300X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Jason W Black, MD?
The NPI number of Dr. Jason W Black, MD is 1245259902. It was assigned on July 19, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Jason W Black, MD?
Dr. Jason W Black, MD is registered under the primary taxonomy Family Medicine, Geriatric Medicine (code 207QG0300X), licensed in MD under license number D61199.
Where does Dr. Jason W Black, MD practice?
The practice location is 6701 N Charles St, Ste 4105, Baltimore, MD 21204-6808. The office can be reached at 443-849-3184 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1245259902 directly on the NPPES registry website.