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: July 19, 2026.

  • Organization
  • Pediatrics

About BLACK JONES HEALTHCARE, PC

This page provides the complete NPI Profile along with additional information for Black Jones Healthcare, Pc, a pediatrician established in Grants Pass, Oregon operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1386492569 assigned on May 2024. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Judy Kristine Black Md (President)

NPI
1386492569 Verify this NPI
Provider Name
BLACK JONES HEALTHCARE, PC
Entity Type
Organization
Location Address
1873 WILLIAMS HWY STE 1B GRANTS PASS, OR 97527
Location Phone
(541) 234-8300
Mailing Address
1873 WILLIAMS HWY STE 1B GRANTS PASS, OR 97527
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-11-2024
Last Update Date
05-11-2024
Code Navigator

A pediatrician like Black Jones Healthcare, Pc is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. JUDY KRISTINE BLACK MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(541) 659-3986

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

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

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386492569, enumerated as an "organization" on May 11, 2024.

The provider is located at 1873 WILLIAMS HWY STE 1B GRANTS PASS, OR 97527 and the phone number is (541) 234-8300.

Pediatrics with taxonomy code 208000000X.