Anthony Black
Technician, Attendant Care Provider in Baton Rouge, LA. Individual provider (NPI-1).
NPI number1114567005
StatusActive
Last updated in NPPESJan 9, 2020
Details
- NPI
- 1114567005
- Entity type
- Individual (NPI-1)
- Name
- Mr. Anthony Black
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 9, 2020
- Certification date
- Jan 9, 2020
- Last updated
- Jan 9, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
2202 Aubin Ln Apt 404Baton Rouge, LA 70816-8294
Phone 225-223-5068
Mailing address
2202 Aubin Ln Apt 404Baton Rouge, LA 70816-8294
Phone 225-223-5068
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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