CHARLES L. BLACK JR MD SURGICAL CLINIC CORP – NPI #1952442832
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

CHARLES L. BLACK JR MD SURGICAL CLINIC CORP is a surgeon located in SHREVEPORT, LA. NPPES has assigned the NPI number 1952442832 to CHARLES L. BLACK JR MD SURGICAL CLINIC CORP on February 12, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was previously updated about 19 years ago on Sep 14, 2007. 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 CHARLES L. BLACK JR MD SURGICAL CLINIC CORP below.

NPI Profile for
CHARLES L. BLACK JR MD SURGICAL CLINIC CORP

NPI Number
1952442832
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CHARLES L. BLACK JR MD SURGICAL CLINIC CORP
Primary location
1534 ELIZABETH AVE
SUITE 202
SHREVEPORT, LA 71101-4516
Phone: (318) 221-0166 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHARLES BLACK
OWNER
Phone: (318) 221-0166
Updated
Identifiers

Identifiers for CHARLES L. BLACK JR MD SURGICAL CLINIC CORP

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.

DescriptionIssuerStateIdentifier
MEDICAIDLA1169838
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
208600000X
- Surgery (Primary)
LA 011576

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.