1. Home
  2. Directory
  3. Louisiana
  4. Shreveport
  5. Surgery
  6. NPI Profile

CHARLES L. BLACK JR MD SURGICAL CLINIC CORP
NPI 1952442832
Surgery in Shreveport, LA

Active since February 12, 2007
1534 ELIZABETH AVE, SUITE 202, SHREVEPORT, LA 71101(318) 221-0166 Get Directions Write a Review

NPPES record last updated: September 14, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Charles L. Black Jr Md Surgical Clinic Corp NPPES

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

CHARLES L. BLACK JR MD SURGICAL CLINIC CORP (NPI 1952442832) is a healthcare organization registered as a surgery in Shreveport, Louisiana and active in the NPI registry since February 2007. The organization lists Charles Lester Black, Owner, as its authorized official.

NPPES Registry Identity

NPI1952442832
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameCHARLES L. BLACK JR MD SURGICAL CLINIC CORP
Location Address1534 ELIZABETH AVE, SUITE 202Shreveport, LA 71101-4516
Mailing Address1534 Elizabeth Ave, Suite 202Shreveport, LA 71101-4516 · (318) 221-0166
Phone(318) 221-0166
Organization SubpartNo
Authorized OfficialCharles Lester BlackOwner · (318) 221-0166
Enumeration DateFebruary 12, 2007
Last NPPES UpdateSeptember 14, 2007
✔ NPI 1952442832 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in LA · 011576
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1534 ELIZABETH AVE, Shreveport, LA 71101
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified5CJ93LA
Medicare UPINB62288
Medicaid1169838LA

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 3

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

DR. STEPHANIE BARNES M.D.
Internal Medicine (Gastroenterology)
1534 ELIZABETH AVE
SHREVEPORT, LA 71101
Caddo Parish (318) 681-7980
KANDYCE LEWIS LMT
Massage Therapist
1534 ELIZABETH AVE, #206
SHREVEPORT, LA 71101
Caddo Parish (318) 820-9257
DR. CHARLES BLACK M.D.
Surgery
1534 ELIZABETH AVE, SUITE 202
SHREVEPORT, LA 71101
Caddo Parish (318) 681-7350

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 Charles L. Black Jr MD Surgical Clinic Corp's NPI number?

The NPI number for Charles L. Black Jr MD Surgical Clinic Corp is 1952442832. It was assigned to this organization in the NPPES registry on February 12, 2007.

Where is Charles L. Black Jr MD Surgical Clinic Corp located?

Charles L. Black Jr MD Surgical Clinic Corp is located at 1534 Elizabeth Ave Suite 202, Shreveport, LA 71101. The listed phone number is (318) 221-0166.

What is Charles L. Black Jr MD Surgical Clinic Corp's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

When was this NPI record last updated?

The NPPES record for Charles L. Black Jr MD Surgical Clinic Corp was last updated on September 14, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.