SearchLouisiana374U00000X

Michael Black

NPI 1053227678 · on the registry since 2026 · sole proprietor

Practice

Address
11550 Newcastle Ave Ste 230
Baton Rouge, LA 70816
Phone
(225) 612-5599
Organisation at this address
Maxim Healthcare Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3

Registry record

Primary taxonomy
374U00000X
374U00000X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-08-22

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana