Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
THOMAS BLACK
Active
Individual
THOMAS BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
232292
NY
208000000X
Pediatrics Physician
Primary
86636
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026910201
UNIVERA HEALTHCARE
NY
01
—
00026910202
UNIVERA
—
01
—
000527733001
BLUE CROSS BLUE SHIELD
NY
01
—
000527733002
BC/BS
—
05
—
02577360
—
NY
01
—
070804000017
FIDELIS
—
01
—
1212594
IHA
—
Enumeration date
02/02/2006
Last updated
10/10/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers