MR. DAVID L BLACK (NPI# 1427042092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427042092 |
| Entity Type | Individual |
| Full Name | MR. DAVID L BLACK |
| Credential | PAC |
| Practice Address |
4310 Londonderry Rd Suite 202 Harrisburg PA 17109-5300 |
| Mailing Address |
1700 S Lincoln Ave Lebanon PA 17042-7529 |
| Practice Telephone | 7179207664 |
| Practice Fax Number | 7179204361 |
| Mailing Telephone | 7172726621 |
| Mailing Fax Number | 7172286156 |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2020-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
MA000813L | PA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | BLUE CROSS | 50041402 | 01 |
| PA | KEYSTONE | 0993475 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740412410 | David S Black | Counselor | 727 W 21st St, Laurel, MS 39440-2235 | 2009-08-14 |
| 1053536417 | David Black | Technician/Technologist | 1123 Woodbank Dr, Seabrook, TX 77586-4014 | 2007-04-13 |
| 1316007123 | David C Black | Chiropractor | 234 S. Sandusky Ave, Bucyrus, OH 44820 | 2006-12-11 |
| 1013015015 | David Dow Black IIi | Chiropractor | 799 Main Street North, Cornelia, GA 30531 | 2006-09-21 |
| 1518989730 | David E Black | Dentist | 1335 Hardy Rd, Vinton, VA 24179-2201 | 2006-07-24 |
| 1295756682 | David Joseph Black | Family Medicine | 720 Sw 2nd Ave Ste 206, Gainesville, FL 32601-1210 | 2006-07-21 |
| 1235133679 | David L Black | Orthopaedic Surgery | 3105 Mcclelland Blvd, Joplin, MO 64804-1640 | 2005-06-13 |
| 1164874145 | David Detweiler Black | Dentist | 3550 Paxton St, Harrisburg, PA 17111-1414 | 2016-07-01 |
| 1831547603 | David Black | Nurse Practitioner | 101 Cabarrus Ave E, Concord, NC 28025-3699 | 2016-06-02 |
| 1487918280 | David Martin Black | Emergency Medicine | 1500 E. Medical Center Drive, B1-380 Tc, Spc 5305, Ann Arbor, MI 48109-5305 | 2012-06-27 |
| Street Address |
4310 LONDONDERRY RD SUITE 202 |
| City | HARRISBURG |
| State | PA |
| Zip Code | 17109-5300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538164454 | Michael Cordas Jr. | Family Medicine | 4310 Londonderry Rd, 1st Floor, Suite 1-b, Harrisburg, PA 17109 | 2005-06-16 |
| 1659994671 | Jessica Rusbatch | Clinical Neuropsychologist | 4310 Londonderry Rd, Harrisburg, PA 17109-5300 | 2020-05-26 |
| 1477031938 | Alyssa K Wiekrykas | Physical Therapist | 4310 Londonderry Rd, Harrisburg, PA 17109-5300 | 2018-08-06 |
| 1699287490 | Cierstin Dixon | Speech-Language Pathologist | 4310 Londonderry Rd, Harrisburg, PA 17109-5300 | 2017-11-02 |
| 1073903621 | Anthony L Calvello Iv | Physical Therapist | 4310 Londonderry Rd, Harrisburg, PA 17109-5300 | 2015-02-03 |
| 1588063614 | Cayleigh M Minter | Nurse Practitioner | 4310 Londonderry Rd, Harrisburg, PA 17109-5300 | 2014-08-14 |
| 1821408261 | Pinnacle Health Medical Services | Orthopaedic Surgery | 4310 Londonderry Rd, First Floor, Suite 1-b, Harrisburg, PA 17109-5300 | 2014-05-07 |
| 1518220086 | Michael F Lupinacci Md, PC | Physical Medicine & Rehabilitation | 4310 Londonderry Rd, Suite 106, Harrisburg, PA 17109-5300 | 2012-06-20 |
| 1811282981 | Vincent Anthony Bottaro | Physician Assistant | 4310 Londonderry Rd, Suite 202, Harrisburg, PA 17109-5300 | 2011-06-16 |
| 1942521125 | Timothy B Brown | Surgery | 4310 Londonderry Rd, Ste 101, Harrisburg, PA 17109-5300 | 2010-06-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841786852 | Caroline Lippe | Surgery | Upmc Pinnacle Training Programs, 4300 Londonderry Road, Harrisburg, PA 17109 | 2018-07-03 |
| 1073000477 | Sunny R Parekh | Orthopaedic Surgery | Upmc Pinnacle, 4300 Londonderry Road, Harrisburg, PA 17109 | 2018-04-20 |
| 1003329459 | Liyah Care Homecare, LLC | In Home Supportive Care | 301 N. Progress Ave, #c5, Harrisburg, PA 17109 | 2017-11-08 |
| 1073069951 | Hannah Marie Lafleur | Specialist/Technologist | 500 Nevada Ave., Harrisburg, PA 17109 | 2016-08-30 |
| 1467792333 | Donna M Oswandel | Registered Nurse | 4300 Londonderry Rd Ste 202, Harrisburg, PA 17109 | 2013-02-28 |
| 1841575206 | Jeanine D Bucek | Nurse Practitioner | 550 North Progress Avenue, Harrisburg, PA 17109 | 2011-10-18 |
| 1225348899 | Ashley Dominique Hudson | Optometrist | Route 22 and Colonial Rd., Suite 74, Harrisburg, PA 17109 | 2010-10-18 |
| 1215177183 | Schappell Chiropractic, PC | Chiropractor | 3301 Schoolhouse Lane, Harrisburg, PA 17109 | 2009-03-04 |
| 1902057524 | Orthopedic Surgeons Ltd | Orthopaedic Surgery | 450 Powers Avenue, Harrisburg, PA 17109 | 2008-10-01 |
| 1124286984 | Scott Kevin Leedy | Dentist | 3106 Walnut Street, Harrisburg, PA 17109 | 2008-05-29 |
| Find all providers in zip 17109 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487836763 | Pinnacle Health Medical Services | Physician Assistant | 4310 Londonderry Rd, Suite 202, Harrisburg, PA 17109-5300 | 2007-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450087 | Mary Baich | Physician Assistant | 1050 Bower Hill Rd Ste 208, Pittsburgh, PA 15243-1868 | 2020-06-08 |
| 1972145134 | Emilie A Simone | Physician Assistant | 1050 Bower Hill Rd Ste 309, Pittsburgh, PA 15243-1870 | 2019-10-09 |
| 1518524339 | Nicholas Vernoy Smith | Physician Assistant | 510 South Aiken Avenue, Suite Eg-01 East Wing Shadyside Hospital, Pittsburgh, PA 15232-1505 | 2019-05-28 |
| 1689131757 | Amanda Furst | Physician Assistant | 9100 Babcock Blvd Ste 4828, Pittsburgh, PA 15237-5815 | 2019-02-26 |
| 1659845295 | Alexis Kimes | Physician Assistant | 200 Lothrop St Fl 4, Pittsburgh, PA 15213-2536 | 2019-01-16 |
| 1427530831 | Jordan L Ball | Physician Assistant | 30 Hope Dr # 1200, Hershey, PA 17033-2036 | 2018-08-31 |
| 1740707298 | Robyn Mcnamee | Physician Assistant | 142 Clearview Cir Ste 110, Butler, PA 16001-1565 | 2017-08-25 |
| 1831648336 | Hollie Anne Ramaley | Physician Assistant | 624 E End Ave, Pittsburgh, PA 15221-3424 | 2016-09-25 |
| 1083169890 | Ellen Cannon | Physician Assistant | 1023 Marlin Dr, West Chester, PA 19382-2360 | 2016-08-22 |
| 1295182491 | Emily Tercek | Physician Assistant | 620 Howard Ave Fl 7, Altoona, PA 16601-4804 | 2016-05-17 |
| Find all providers with the same taxonomy | ||||
| City | HARRISBURG |
| Zip Code | 17109 |
Please comment or provide details below to improve the information on MR. DAVID L 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.