WILLIAM J BLACK MD
NPI 1720019284
Emergency Medicine in Harriman, TN

NPI Status: Active since July 05, 2006

Contact Information

412 DEVONIA ST
HARRIMAN, TN
ZIP 37748
Phone: (865) 882-1323
Fax: (865) 291-3228

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  • Individual
  • Male
  • Emergency Medicine

About WILLIAM BLACK

This page provides the complete NPI Profile along with additional information for William Black, a provider established in Harriman, Tennessee with a medical specialization in Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1720019284 assigned on July 2006. The practitioner's primary taxonomy code is 207P00000X with license number 015791 (TN). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1720019284
Provider Name
WILLIAM J BLACK MD
Gender
Male
Entity Type
Individual
Location Address
412 DEVONIA ST HARRIMAN, TN 37748
Location Phone
(865) 882-1323
Location Fax
(865) 291-3228
Mailing Address
PO BOX 636019 CINCINNATI, OH 45263
Is Sole Proprietor?
No
Enumeration Date
07-05-2006
Last Update Date
11-16-2007
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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

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
License No.
015791
License State
TN
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

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.

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
3331539MEDICAID (05)TN 
4105155OTHER (01)TNBCBS OF TENNESSEE
A97676MEDICARE UPIN (02)TN 
3331539MEDICARE PIN (08)TN 
P00282933OTHER (01)TNRAILROAD MEDICARE

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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.
1720019284
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27400118216
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 0 + 1 + 1 + 8 + 2 + 1 + 6 + 24 = 56
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 56 = 44

The NPI number 1720019284 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 17 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1407843519 PATRICIA L DOUGLAS CRNA
Individual
Nurse Anesthetist, Certified Registered412 DEVONIA ST
HARRIMAN, TN 37748
(865) 882-1323
1487607537 CONWAY ELLA CRNA
Individual
Nurse Anesthetist, Certified Registered412 DEVONIA ST
HARRIMAN, TN 37748
(423) 882-1323
1831128404 ROBERT A DUKES MD
Individual
Emergency Medicine412 DEVONIA ST
HARRIMAN, TN 37748
(865) 882-1323
1700815396 JOHN R STALEY JR. MD
Individual
Emergency Medicine412 DEVONIA ST
HARRIMAN, TN 37748
(865) 882-1323
1477584936 DOUGLAS M BATCHELOR MD
Individual
Emergency Medicine412 DEVONIA ST
HARRIMAN, TN 37748
(865) 882-1323
1437180908 BENNIE W WHITEHEAD MD
Individual
Emergency Medicine412 DEVONIA ST
HARRIMAN, TN 37748
(865) 882-1323
1770690729ROANE MEDICAL CENTER
Organization
Medicare Defined Swing Bed Unit412 DEVONIA ST
HARRIMAN, TN 37748
(865) 882-1323
1104023704ROANE MEDICAL CENTER
Organization
Hospitalist412 DEVONIA ST
HARRIMAN, TN 37748
(865) 882-4440
1649479361DOUGLAS ANESTHESIA ASSOCIATES, PLLC
Organization
Nurse Anesthetist, Certified Registered412 DEVONIA ST
HARRIMAN, TN 37748
(865) 882-1323
1477834604 MELISSA Y BENTON PA-C
Individual
Physician Assistant412 DEVONIA ST
HARRIMAN, TN 37748
(865) 882-4112
1568568723DR. MIRZA E MORALES-DIAZ M.D.
Individual
Emergency Medicine412 DEVONIA ST ROANE MEDICAL CENTER
HARRIMAN, TN 37748
(865) 985-7234
1598865958 CHARLES BROOKS MD
Individual
Emergency Medicine412 DEVONIA ST
HARRIMAN, TN 37748
(865) 882-1323
1477589646 DEBRA ACHENBACH KELLER FNP
Individual
Nurse Practitioner412 DEVONIA ST
HARRIMAN, TN 37748
(865) 882-4379
1356402358NEW DAY, INCORPORATED
Organization
Clinic/Center (Adult Mental Health)412 DEVONIA ST
HARRIMAN, TN 37748
(865) 882-8856
1346457959ROANE MEDICAL CENTER
Organization
Psychiatric Hospital412 DEVONIA ST
HARRIMAN, TN 37748
(865) 882-8856
1922215532ROANE COUNTY MEDICAL CENTER
Organization
Psychiatric Hospital412 DEVONIA ST
HARRIMAN, TN 37748
(865) 882-8856
1316190069ROANE COUNTY MEDICAL CENTER
Organization
Psychiatric Unit412 DEVONIA ST
HARRIMAN, TN 37748
(865) 882-1323

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720019284, enumerated in the NPI registry as an "individual" on July 05, 2006

The provider is located at 412 Devonia St Harriman, Tn 37748 and the phone number is (865) 882-1323

The provider's speciality is Emergency Medicine with taxonomy code 207P00000X

The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. 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 July 05, 2006. 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].
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