Judy Black, M.D.
Pediatrics Physician · Roseburg, OR
Judy Black, M.D. is a pediatrics physician with a practice address in Roseburg, Oregon, and NPI 1770786667, issued on Jun 7, 2007. Check the license (Oregon MD 170104, as entered in NPPES) on the Oregon Medical Board; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Judy Black
- Credential
- M.D.
- Primary taxonomy
- Pediatrics Physician 208000000X
- License numbers
- MD 170104 OR
MD170104 OR
036113715 IL
Self-reported in NPPES; status is on the state search - Practice location
- 1937 W Harvard Ave, Roseburg, OR 97471
- Phone
- (541) 677-7200
- Enumerated
- Jun 7, 2007
- Record last updated
- Aug 7, 2025
- Fax
- (541) 229-3309
- Medicaid IDs
- 500680833 OR
036113715 IL - Entity
- Type 1 · individual
Also registered at 1937 W Harvard Ave
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Anca Dauer, DOFamily Medicine Physician1295269082
- Pamela Ellenburg, DOFamily Medicine Physician1376936732
- Alyssa Emo, DOObstetrics & Gynecology Physician1811343155
- Christopher Escobedo, CHWCommunity Health Worker1629939798
- Natalie Groshong, MDInternal Medicine Physician1952042939
- Stacie Hanna, CNMAdvanced Practice Midwife1639703549
Verify Judy Black in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersOregon Medical Board
Search for license MD 170104Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Pediatrics Physician providers in Oregon
There are 861 pediatrics physician records in Oregon. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
Other pediatrics physician records in Oregon
- Pradeep Adumala, MDConyngham, OR1770983272
- Neda Afzali, M.D.Albany, OR1114197787
- Ebelosele Aigbivbalu, MDRoseburg, OR1164918108
- Ekene Ajufo, M.D.Hermiston, OR1962853556
- Raya Al Ghalayini, MDMedford, OR1255990735
- Zaid Al-Mulla, MDTigard, OR1558441030
- Hugh Alexander, MDPortland, OR1811986813
- Abdallah Alkhaldi, MDKlamath Falls, OR1407544281
- Michael Allender, MDCorvallis, OR1679522692
- Victoria Allsup, MDLebanon, OR1437786944
Common questions
What is Judy Black, M.D.'s NPI number?
Judy Black, M.D.'s National Provider Identifier (NPI) is 1770786667, issued on Jun 7, 2007. An NPI identifies a provider in billing; it is not a license.
Where is Judy Black, M.D. located?
The NPPES record lists a practice address at 1937 W Harvard Ave, Roseburg, OR, 97471. Phone: (541) 677-7200. Providers update this record themselves, so call before visiting.
How can I verify Judy Black, M.D.'s license?
NPPES lists Oregon license number MD 170104, as entered by the provider. Search the Oregon Medical Board at https://www.oregon.gov/OMB/Pages/default.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.