Active NPIIndividual provider

Dr. Eleanore K Black, MD

Hospitalist in Greenwich, Connecticut

NPI Number1255863866
Practice location
5 Perryridge RD, Greenwich, CT 06830-4608
Fax
—
Last updated
November 10, 2020

Eleanore Kristy Black is a Hospitalist based in Greenwich, CT. Eleanore Kristy Black practices in Greenwich, CT and has the professional credentials of MD. The NPI Number for Eleanore Kristy Black is 1255863866 and holds a License No. 65343 (CT). The current practice location address for Eleanore Kristy Black is 5 Perryridge RD, Greenwich, CT 06830-4608 and can be reached out via phone at 203-863-3409.

Provider Profile Details

NPI Number
1255863866
Provider Name
Eleanore Kristy Black
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
5 Perryridge RD, Greenwich, CT 06830-4608
Phone Number
203-863-3409
Primary Taxonomy
Hospitalist · 208M00000X
Sole Proprietor
No
Provider Enumeration Date
April 2, 2017
Last Update Date
November 10, 2020
Certification Date
November 10, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Perryridge RD
Greenwich, CT 06830-4608
Zip
06830-4608
Phone Number
203-863-3409
Greenwich, CT 06830Get directions →

Provider Business Mailing Address Details

Address
38 Volunteer Ln Apt 4E
Greenwich, CT 06830-5463
City
Greenwich
State
CT
Zip
06830-5463
Phone Number
203-863-3409

License Information

License Number (2)
65343
License State (2)
CT
Taxonomy (2)
Hospitalist · 208M00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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. Eleanore K Black, MD?

The NPI number of Dr. Eleanore K Black, MD is 1255863866. It was assigned on April 2, 2017 and is currently active in the NPPES registry.

What is the specialty of Dr. Eleanore K Black, MD?

Dr. Eleanore K Black, MD is registered under the primary taxonomy Hospitalist (code 208M00000X), licensed in CT under license number 65343.

Where does Dr. Eleanore K Black, MD practice?

The practice location is 5 Perryridge RD, Greenwich, CT 06830-4608. The office can be reached at 203-863-3409 (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 1255863866 directly on the NPPES registry website.

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