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Deactivated NPI 1053763748 Deactivated / Inactive NPI Female Practitioner

Tammie Black

Contractor • Galloway, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Tammie Black has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 06, 2016
NPI Deactivation Date October 06, 2023
Total Practice Duration ~7 Years of Practice (2016 – 2023)

Professional Overview & Biography Verified Profile Summary

Tammie Black was a registered Contractor practicing in Galloway, OH. Throughout an active medical career spanning 7 years, Tammie Black provided care at the practice location at 6037 EPERNAY WAY until profile deactivation on 2023-10-06.

Practice Location & Contact Primary Location

Practice Address

6037 Epernay Way

Galloway, OH 431198816

Telephone 6148702627

Specialty Benchmarks & Practice Insights

Comparative analytics for Contractor in Galloway, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 29.0 Yrs
Regional Practice Density
2 Specialists

Practicing in Galloway, OH (726 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Contractor Primary Specialty

NUCC Taxonomy Code: 171W00000X

A person who contracts to supply certain materials or do certain work for a stipulated sum; esp., one whose business is contracting work in any of the building trades. For purposes of the taxonomy, a person who contracts to complete home repairs or modifications to accommodate a health condition (e.g. wheelchair ramp, kitchen counter lowering).

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Gordon Black

Home Health Aide

NPI 1164242475

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated October 06, 2023

Record deactivated on October 06, 2023

NPI Profile Active July 06, 2016

NPI status registered as active in NPPES database

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Updated Practice Location July 06, 2016

Registered at 6037 EPERNAY WAY, GALLOWAY, OH 431198816 (Tel: 6148702627)

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Updated Business Mailing Address July 06, 2016

Registered at 6037 EPERNAY WAY, PO BOX 46, GALLOWAY, OH 431198816 (Tel: 6148702627)

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Provider Name / Credentials Updated July 06, 2016

Recorded as TAMMIE BLACK

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2016

Contractor

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Initial NPI Registration & Enumeration July 06, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053763748
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 06, 2016
Last Update: July 06, 2016
Deactivation Date: October 06, 2023

Mailing Address

6037 Epernay Way, Po Box 46

Galloway, OH 431198816

Phone: 6148702627

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.