MR. ANDREW P BLACK


Address: 6438 Wilmington Pike Ste 110, Dayton, OH 45459-7021
Phone: 9378484121

MR. ANDREW P BLACK (NPI# 1790011724) 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) 1790011724
Entity Type Individual
Full Name MR. ANDREW P BLACK
Credential PA - C
Practice Address 6438 Wilmington Pike Ste 110
Dayton
OH 45459-7021
Practice Telephone 9378484121
Practice Fax Number 9378485965
Mailing Telephone 9378484121
Mailing Fax Number 9378485965
Enumeration Date 2009-10-27
Last Update Date 2018-03-26
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
50-002937 OH Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
OH BCBS-OH 000000636013 01

Other Providers ANDREW BLACK

NPI Name Taxonomy Address Enumeration
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
1346726999 Andrew Black Nurse Practitioner 5041 Victor Dr Ste C, Medina, OH 44256-6028 2018-07-17
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 6438 WILMINGTON PIKE STE 110
City DAYTON
State OH
Zip Code 45459-7021

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114577103 Mackenzie R Rice Physician Assistant 6438 Wilmington Pike Ste 110, Dayton, OH 45459-7021 2019-09-12
1023665619 Katrina Burgos Physician Assistant 6438 Wilmington Pike Ste 110, Dayton, OH 45459-7021 2019-08-20

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1659917466 Sarai Burke Robinson Occupational Therapist 2200 Miami Valley Rd, Dayton, OH 45459 2019-11-27
1689179855 Paragon Infusion Therapy, LLC Durable Medical Equipment & Medical Supplies 1746 Thomas Paine Pkwy, Centerville, OH 45459 2018-03-28
1922555473 Hannah Gualtieri Specialist/Technologist Miami Valley Drive, Suite 320, Centerville, OH 45459 2016-09-01
1326410028 Kathleen E Dorsten Counselor 37 Irongate Park Dr, Centerville, OH 45459 2015-10-21
1184000846 Valeriya Falkenshtern Specialist/Technologist 2400 Miami Valley Drive, Newborn Hearing Screens, Dayton, OH 45459 2015-08-05
1700169331 Monica Lynn Carrico Registered Nurse 7625 Paragon Road Suite C, Dayton, OH 45459 2011-09-20
1427360080 Tonia S Campbell Physical Therapist 1235 E. Alex Bell Road, Centerville, OH 45459 2010-07-11
1265768956 Health At Home, LLC Home Health 6443 Bethany Village Drive, Dayton, OH 45459 2009-10-30
1881826337 Annetta Jean Davis Social Worker 7950 Clyo Road, Centerville, OH 45459 2009-08-18
1740459783 Ryan A Long Dentist 2591 Miamisburg-centerville Rd, Suite 200, Dayton, OH 45459 2008-02-25
Find all providers in zip 45459

Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1558668780 Adam Joseph Thomas Physician Assistant 1 Elizabeth Pl Bldg G, Dayton, OH 45417-3445 2011-02-24
1487722526 Nancy Moyer Solada Physician Assistant 1989 Miamisburg Centerville Rd Ste 201, Dayton, OH 45459-3858 2006-11-30
1467417386 James D. Welsh Physician Assistant 1427 Business Center Ct, Dayton, OH 45410-3300 2006-04-20
1417937558 Anthony S Allen Physician Assistant 5 Pine Cone Rd, Suite 102, Dayton, NV 89403-7393 2006-01-17
1558353904 Douglas Eulberg Physician Assistant 3075 Governors Place Blvd, Suite 120, Dayton, OH 45409-1323 2005-08-19
1730791146 Shannon Hayes Physician Assistant 3535 Southern Blvd, Dayton, OH 45429-1221 2020-08-18
1164052395 Andrew Conroy Physician Assistant 1 Wyoming St, Dayton, OH 45409-2722 2020-01-15
1396307138 Aleesha Mae Schafers Physician Assistant 1 Childrens Plz, Dayton, OH 45404-1873 2019-07-02
1073079190 Mckenzie Wheeler Physician Assistant 1 Childrens Plz, Dayton, OH 45404-1873 2019-02-13
1073084703 Leah Ann Hare Physician Assistant 3716 Wilmington Pike, Dayton, OH 45429-4845 2018-12-06
Find all providers in DAYTON

Competitor

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City DAYTON
Zip Code 45459

Improve Information

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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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