LAURA C. BLACK M.D. – NPI #1124388129
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Health Care Provider Taxonomy Code for Internal Medicine

LAURA BLACK is a physician located in WEST HARTFORD, CT. NPPES has assigned the NPI number 1124388129 to LAURA BLACK on May 23, 2012. It is a Type-1 NPI, indicating this NPI number is associated with an individual. She is also known by her former name LAURA CELESTE DEPOULI. The primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was previously updated about 8 years ago on May 15, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LAURA BLACK below.

NPI Profile for
LAURA C. BLACK

NPI Number
1124388129
Enumeration Date

(more than 14 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
LAURA C. BLACK
Former Name: LAURA CELESTE DEPOULI
Credentials
M.D.
Primary location
336 N MAIN ST
WEST HARTFORD, CT 06117
Phone: (860) 232-4891 Fax: (860) 236-1016
Mailing address
17 VIRGINIA AVE
SUITE 107
PROVIDENCE, RI 02905-4406
Phone: (401) 443-4992 Fax: (401) 784-4902
Sole Proprietor
Yes
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)		 RI MD14897

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF VERMONT COLLEGE OF MEDICINE - Graduated 2012
Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
LAURA BLACK is affiliated with the following medical group(s):
  • HOSPITAL
    • HARTFORD HOSPITAL
      80 SEYMOUR STREET
      HARTFORD, CT 06102
  • HOME HEALTH AGENCY
    • HARTFORD HEALTHCARE AT HOME
      1 NORTHWESTERN DRIVE SUITE 101
      BLOOMFIELD, CT 06002

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