ANDREW BLACK


Address: 5041 Victor Dr Ste C, Medina, OH 44256-6028
Phone: 3307233338

ANDREW BLACK (NPI# 1346726999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346726999
Entity Type Individual
Full Name ANDREW BLACK
Credential APRN
Practice Address 5041 Victor Dr Ste C
Medina
OH 44256-6028
Mailing Address 273 Chester Ave
Wadsworth
OH 44281-8374
Practice Telephone 3307233338
Mailing Telephone 3304721714
Enumeration Date 2018-07-17
Last Update Date 2018-07-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
APRN.CNP.023120 OH Physician Assistants & Advanced Practice Nursing Providers
N 363LG0600X Nurse Practitioner
Specialization: Gerontology
APRN.CNP.023120 OH Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH STATE (OHIO) ENDORSEMENT CNP APRN.CNP.023120 01

Other Providers ANDREW BLACK

NPI Name Taxonomy Address Enumeration
1790011724 Andrew P Black Physician Assistant 6438 Wilmington Pike Ste 110, Dayton, OH 45459-7021 2009-10-27
1548408669 Andrew P Black Podiatrist 1050 Sw 3rd Ave Ste 400, Ontario, OR 97914-2197 2009-01-27
1457480659 Andrew Steven Black Chiropractor 64 Fulton St, Ground Floor Office, New York, NY 10038-1854 2007-03-05
1659318020 Andrew James Black Internal Medicine 2215 Burdett Ave., Hmp of Samaritan, Troy, NY 12180-2466 2006-06-02
1851392351 Andrew William Black Internal Medicine 1125 N Porter Ave Ste 301, Norman, OK 73071-6443 2005-08-09
1740787241 Andrew Black Student in an Organized Health Care Education/Training Program 1740 W Taylor St, Chicago, IL 60612-7232 2018-04-11
1306204193 Andrew Black Counselor 17640 Ne Halsey St, Portland, OR 97230-6733 2016-02-08
1245620137 Andrew Black IIi Physical Therapist 1725 Laskin Rd, Virginia Beach, VA 23454 2015-01-29
1063838720 Andrew Allen Black Massage Therapist 14511 Westlake Dr Ste 100, Lake Oswego, OR 97035-7727 2014-03-05
1417222340 Andrew Patrick Black Pharmacist 79795 Highway 111, La Quinta, CA 92253-4756 2012-03-10

Office Location

Street Address 5041 VICTOR DR STE C
City MEDINA
State OH
Zip Code 44256-6028

Providers in the same location

NPI Name Taxonomy Address Enumeration
1407391600 Kayli Swank Nurse Practitioner 5041 Victor Dr Ste C, Medina, OH 44256-6028 2016-12-23

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215577408 Phil Mcclelland Counselor 520 Miller Dr, Medina, OH 44256 2020-01-15
1619519444 Lauren Marie Blakney Nurse Practitioner 970 E Washington St., Medina, OH 44256 2019-10-14
1558922286 Jennifer Sue Arhin Nurse Practitioner 807 E Washington St., Ste 220, Medina, OH 44256 2019-06-24
1891263927 Jena Christine Palmer Nurse Practitioner 817 E Washington Street, Medina, OH 44256 2018-11-07
1154849891 Janelle Liggett-schultz Licensed Practical Nurse 8170 Coon Club Rd, Medina, OH 44256 2017-09-01
1942725478 Amanda Kay Byrne Registered Nurse 1000 Concord Dr., Medina, OH 44256 2017-08-05
1821526922 Melissa Marie Rutti Nurse Practitioner 111 Reagan Pkwy, Medina, OH 44256 2017-06-01
1992238919 Lisa Scherler Speech-Language Pathologist 3880 Ridge Rd., Medina, OH 44256 2017-04-06
1770026502 Victoria Lee Ayala Speech-Language Pathologist 390 Fair Street, Berea, OH 44256 2016-11-28
1982076626 Finding Your Identity LLC Community/Behavioral Health 124 West Lafayette Road, Suite 100, Medina, OH 44256 2015-10-21
Find all providers in zip 44256

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1154940708 Elizabeth Clare Gaydosh Nurse Practitioner 4680 Autumn Run Dr, Medina, OH 44256-8821 2020-04-14
1619519444 Lauren Marie Blakney Nurse Practitioner 970 E Washington St., Medina, OH 44256 2019-10-14
1508226606 Christine Marie Pfaffel Nurse Practitioner 6920 Lake Rd, Medina, OH 44256-8842 2016-03-02
1407222524 Amanda Kristen Mergy Nurse Practitioner 6505 Foxglove Dr, Medina, OH 44256-7864 2015-08-12
1669489381 Nancy Ann Arbeiter Nurse Practitioner 314 Pearl St, Medina, NY 14103-1135 2006-08-02
1700360211 Jennifer Elizabeth Rice Nurse Practitioner 209 Grace Cv, Medina, TN 38355-8785 2018-09-20
1255813010 Barbara R. Kinney Nurse Practitioner 3780 Medina Rd, Medina, OH 44256-9311 2018-08-29
1063998607 Janet Marie Wysocki Freer Nurse Practitioner 100 Ohio St, Medina, NY 14103-1191 2018-07-17
1912231523 Emily Rae Wreford Nurse Practitioner 1000 E Washington St, Medina, OH 44256-2170 2009-09-29
1013101575 Margaret Hosfield Maisel Nurse Practitioner 5075 Windfall Rd, Medina, OH 44256-8613 2007-08-28
Find all providers in MEDINA

Competitor

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City MEDINA
Zip Code 44256

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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