BLACK JONES HEALTHCARE, PC
NPI 1386492569
Pediatrics in Grants Pass, OR

Active since May 11, 2024
1873 WILLIAMS HWY STE 1B, GRANTS PASS, OR 97527(541) 234-8300 Get Directions Write a Review

NPPES record last updated: May 11, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Black Jones Healthcare, Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLACK JONES HEALTHCARE, PC (NPI 1386492569), doing business as Good Shepherd Pediatrics, is a healthcare organization registered as a pediatrics in Grants Pass, Oregon and active in the NPI registry since May 2024. The organization lists Judy Kristine Black, President, as its authorized official.

NPPES Registry Identity

NPI1386492569
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameBLACK JONES HEALTHCARE, PC
Location Address1873 WILLIAMS HWY STE 1BGrants Pass, OR 97527-5843
Mailing Address1873 Williams Hwy Ste 1bGrants Pass, OR 97527-5843
Organization SubpartNo
Authorized OfficialJudy Kristine BlackPresident · (541) 659-3986
Enumeration DateMay 11, 2024
NPPES CertifiedMay 11, 2024
NPI 1386492569 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1873 WILLIAMS HWY STE 1B, Grants Pass, OR 97527

Other Names 1

Doing Business AsGood Shepherd Pediatrics

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
1873 WILLIAMS HWY STE 1B
GRANTS PASS, OR 97527

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Black Jones Healthcare, PC's NPI number?

The NPI number for Black Jones Healthcare, PC is 1386492569. It was assigned to this organization in the NPPES registry on May 11, 2024. The provider is doing business as Good Shepherd Pediatrics.

Where is Black Jones Healthcare, PC located?

Black Jones Healthcare, PC is located at 1873 Williams Hwy Ste 1B, Grants Pass, OR 97527. The listed phone number is (541) 234-8300.

What is Black Jones Healthcare, PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Black Jones Healthcare, PC was last updated on May 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.