DOUGLAS S. BLACK MD – NPI #1033108196
Internal Medicine
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
DOUGLAS BLACK is a physician located in TEXARKANA, TX. NPPES has assigned the NPI number 1033108196 to DOUGLAS BLACK on October 20, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RI0011X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Interventional Cardiology
The NPI profile was previously updated about 11 years ago on Nov 04, 2015. 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 DOUGLAS BLACK below.
NPI Profile for
DOUGLAS S. BLACK
(more than 20 years ago)
SUITE 401
TEXARKANA, TX 75501-5107 Phone: (903) 794-8820 Fax: (903) 794-8878
Identifiers for DOUGLAS BLACK
Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.
| Description | Issuer | State | Identifier |
|---|---|---|---|
| MEDICAID | AR | 140606001 | |
| MEDICAID | OK | 100848130B | |
| MEDICAID | TX | 042154704 |
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 |
|---|---|---|
| 207RI0011X - Internal Medicine / Interventional Cardiology (Primary) |
TX | L0033 |
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
- Refer to Part B
- Order Durable Medical Equipment
- Refer to Home Health Agency
- Order Power Mobility Devices
DOUGLAS BLACK is affiliated with the following medical group(s):
- HOSPITAL
- CHRISTUS ST MICHAEL HEALTH SYSTEM2600 ST MICHAEL DR
TEXARKANA, TX 75503 - WADLEY REGIONAL MEDICAL CENTER1000 PINE STREET
TEXARKANA, TX 75501 - WADLEY REGIONAL MEDICAL CENTER AT HOPE2001 SOUTH MAIN
HOPE, AR 71801
- CHRISTUS ST MICHAEL HEALTH SYSTEM2600 ST MICHAEL DR
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