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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

THOMAS A BLACK

Active Sole Proprietor

THOMAS A BLACK is a Podiatric Surgery healthcare provider located in ROSEBURG, Oregon. NPI 1861364754 is currently active in the NPPES registry. Verify at CMS.

Podiatric Surgery · ROSEBURG, OR

Registration Details

NPI Number
1861364754
Provider Type
Individual
Gender
Male
NPI Issued
Sep 19, 2025 (0.91425689042856 yrs)
Last Updated
Sep 19, 2025
Sole Proprietor
Yes

Practice Information

Address
405 PONY LN
ROSEBURG, OR, 974719775
Browse OR providers · Browse ZIP 97471
Phone
5033337230
Primary Specialty
Podiatric Surgery
3747A0650X

Other Podiatric Surgery Providers in ROSEBURG, OR

Name Credential NPI
TERRY LYNN WILLIS 1942052519
MICHAEL T BLACK 1316768872
CARMALEETA QUINTELLA HAWKINS 1750199824
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.