Mr. Trevor Elan Black

D.P.M. | Podiatrist | 11+ years Exp


  
20 Glenlake Pkwy, Kaiser Permanente Glenlake Medical Center, Atlanta
Georgia, 30328-3473

 818-326-1058   Maps & Directions
Mr. Trevor Elan Black is a Atlanta, Georgia based male podiatrist with 11 years of experience in Podiatrist. He completed his graduation in 2013. He is also affiliated with hospitals like Saint Joseph's Hospital Of Atlanta, Inc. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mr. Trevor Elan Black for Podiatric Foot & Ankle Surgery is POD001289 in Georgia.
Mr. Trevor Elan Black is qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Mr. Trevor Elan Black speciality, credentials, practice address, contact phone number and fax are as below. Patients can directly walk in or can call on the below given phone number for appointment.
Specialization: Podiatrist
Credentials: D.P.M.
Experience: 11+ years
Medical School Attended:Other
Graduation Year:2013
Gender:Male
Accepts Medicare Assignment:Yes
Practice Address:20 Glenlake Pkwy, Kaiser Permanente Glenlake Medical Center, Atlanta,
Georgia, 30328-3473
Phone:818-326-1058
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
PAC ID: 6002039690
Enrollment ID: I20170925002991
NPI Number: 1861835308
NPI Enumeration Date: 15 Apr, 2013
NPI Last Update On: 10 Jan, 2022

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Trevor Elan Black are as mentioned below.
License NumberSpecializationStateStatus
POD001289Podiatric Foot & Ankle Surgery GeorgiaPrimary
Student in an Organized Health Care Education/Training Program Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN) State Hospital Type
Saint Joseph's Hospital Of Atlanta, Inc (110082)Atlanta, GAAcute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Mr. Trevor Elan Black is associated with along with the number of members in that group.
Organization Name (Group PAC ID) Members
The Southeast Permanente Medical Group (6204829013)622
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address: 3495 Piedmont Rd Ne, Nine Piedmont Center
Atlanta, Georgia
Zip: 30305-1717
Phone Number: 404-504-5678
Fax Number: --
Patients can reach Mr. Trevor Elan Black at 20 Glenlake Pkwy, Kaiser Permanente Glenlake Medical Center, Atlanta, Georgia or can call to book an appointment on 818-326-1058. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.

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