ANDREW BLACK (NPI# 1346726999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | STATE (OHIO) ENDORSEMENT CNP | APRN.CNP.023120 | 01 |
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 |
Street Address |
5041 VICTOR DR STE C |
City | MEDINA |
State | OH |
Zip Code | 44256-6028 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407391600 | Kayli Swank | Nurse Practitioner | 5041 Victor Dr Ste C, Medina, OH 44256-6028 | 2016-12-23 |
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 Code | 363LA2200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Adult Health |
Definition to come... |
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 |
Please comment or provide details below to improve the information on ANDREW BLACK.
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.