Judy Black, M.D.
NPI 1770786667ActiveIndividual· Pediatrics· Roseburg, OR
Pediatrics (M.D.) in Roseburg, Oregon, licensed in OR and IL, with an NPI issued in June 2007. Enrolled in Medicare as practitioner - pediatric medicine.
Overview
| NPI | 1770786667 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jun 7, 2007 |
| Last updated in NPPES | Aug 7, 2025 |
| Certified by provider | Aug 7, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | MD 170104 | OR |
| Independent Medical Examiner | 202C00000X | 036113715 | IL |
| Pediatrics | 208000000X | MD170104 | OR |
| Pediatrics | 208000000X | 036113715 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Pediatric Medicine (OR) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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