Search › Virginia › 208200000X
Jonathan Black, M.D
NPI 1548463300 · on the registry since 2007
Practice
- Address
- 1300 Jefferson Park Ave
Charlottesville, VA 22903 - Phone
- (434) 924-5078
- Fax
- (434) 924-8118
- Clinicians at this address
- 163
Additional practice sites
- 629 Cedar Creek Grade Ste B, Winchester, VA
- 1204 W Main St, Charlottesville, VA
- 70 Medical Center Cir Ste 203, Fishersville, VA
- 1215 Lee St, Charlottesville, VA
Registry record
- Primary taxonomy
- 208200000X
208200000X
- Also registered as
- 208000000X
390200000X - Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-08-09
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 Virginia