TIMOTHY L BLACK MD
NPI 1669453940
Surgery - Pediatric Surgery in Fort Worth, TX
NPI Status: Active since November 14, 2005
Contact Information
1500 COOPER ST
FORT WORTH, TX
ZIP 76104
Phone: (682) 885-7080
Fax: (682) 885-7085
- Individual
- Male
- Surgery
- Pediatric Surgery
About TIMOTHY BLACK
This page provides the complete NPI Profile along with additional information for Timothy Black, a provider established in Fort Worth, Texas with a medical specialization in Surgery, focusing in pediatric surgery . The healthcare provider is registered in the NPI registry with number 1669453940 assigned on November 2005. The practitioner's primary taxonomy code is 2086S0120X with license number H1467 (TX). The provider is registered as an individual and his NPI record was last updated 13 years ago.
- NPI
- 1669453940
- Provider Name
- TIMOTHY L BLACK MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1500 COOPER ST FORT WORTH, TX 76104
- Location Phone
- (682) 885-7080
- Location Fax
- (682) 885-7085
- Mailing Address
- PO BOX 99371 FORT WORTH, TX 76199
- Mailing Phone
- (682) 885-4157
- Mailing Fax
- (682) 885-7085
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-14-2005
- Last Update Date
- 11-05-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Surgery Pediatric Surgery
- Taxonomy Code
- 2086S0120X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- H1467
- License State
- TX
- Taxonomy Description
- A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1750369203 | OTHER (01) | NPI GROUP NUMBER | |
| 8G3393 | OTHER (01) | TX | BCBSTX PIN |
| 117647108 | MEDICAID (05) | TX | |
| 00U87Z | MEDICARE PIN (08) | TX | |
| 8G7178 | MEDICARE PIN (08) | TX | |
| 117647106 | MEDICAID (05) | TX | |
| E79519 | MEDICARE UPIN (02) |
Reviews for TIMOTHY L BLACK MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 6 | 6 | 9 | 4 | 5 | 3 | 9 | 4 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 6 | 12 | 9 | 8 | 5 | 6 | 9 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 6 + 1 + 2 + 9 + 8 + 5 + 6 + 9 + 8 + 24 = 80 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1669453940 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1063493831 | JAMES P MILLER MD Individual | Surgery (Pediatric Surgery) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-7080 |
| 1023096963 | JANICE L RANDEL CPNP Individual | Nurse Practitioner (Pediatrics) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-2140 |
| 1619988763 | MAYNARD C DYSON MD Individual | Pediatrics (Pediatric Pulmonology) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-6299 |
| 1184636078 | WILLIAM P BOWMAN MD Individual | Pediatrics (Pediatric Hematology-Oncology) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-4007 |
| 1306858295 | RONALD G BURKE MD Individual | Orthopaedic Surgery (Pediatric Orthopaedic Surgery) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-4405 |
| 1184739534 | NANCY N DAMBRO MD Individual | Pediatrics (Pediatric Pulmonology) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-6299 |
| 1538264239 | LARRY D MESSER MD Individual | Orthopaedic Surgery (Pediatric Orthopaedic Surgery) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-4405 |
| 1205931938 | DONALD K MURPHEY MD Individual | Pediatrics (Pediatric Infectious Diseases) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-1485 |
| 1104921873 | JEFFERY C MCGLOTHLIN MD Individual | Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-2500 |
| 1164515243 | HINTON H HAMILTON III MD Individual | Orthopaedic Surgery (Pediatric Orthopaedic Surgery) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-4405 |
| 1578656658 | LYN I HUNT MD Individual | Pediatrics (Pediatric Gastroenterology) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-1990 |
| 1184717803 | JOANN M SANDERS MD Individual | Pediatrics (Pediatric Hematology-Oncology) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-4007 |
| 1407063324 | TODD D PEARSON MD Individual | Pediatrics (Hospice and Palliative Medicine) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-1475 |
| 1689879645 | JOY L ZAJAC PNP Individual | Nurse Practitioner (Pediatrics) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-2500 |
| 1447455118 | MELISSA A LEMOINE PNP Individual | Nurse Practitioner (Pediatrics) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-4260 |
| 1386893907 | REBECCA A SMITH CPNP Individual | Nurse Practitioner (Pediatrics) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-4007 |
| 1003057662 | SCHARLYN R HENDERSON LCSW Individual | Social Worker (Clinical) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-1475 |
| 1023338357 | KIRSTIN WEBSTER FNP Individual | Nurse Practitioner (Family) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-4405 |
| 1992080030 | JOANNA KATHERINE BROWNLEE CPNP Individual | Nurse Practitioner (Pediatrics) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-2500 |
| 1013235233 | DR. SHAILENDRA DAS D.O. Individual | Pediatrics (Pediatric Pulmonology) | 1500 COOPER ST FORT WORTH, TX 76104 (682) 885-6299 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1669453940, enumerated in the NPI registry as an "individual" on November 14, 2005
The provider is located at 1500 Cooper St Fort Worth, Tx 76104 and the phone number is (682) 885-7080
The provider's speciality is Surgery with taxonomy code 2086S0120X with a focus in Pediatric Surgery
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on November 14, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.