BRYAN L BLACK (NPI# 1790787380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790787380 |
| Entity Type | Individual |
| Full Name | BRYAN L BLACK |
| Credential | MD |
| Practice Address |
8080 E Central Ave Ste 250 Wichita KS 67206-2361 |
| Practice Telephone | 3166867327 |
| Practice Fax Number | 3166861557 |
| Mailing Telephone | 3166867327 |
| Mailing Fax Number | 3166861557 |
| Enumeration Date | 2005-08-12 |
| Last Update Date | 2014-06-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207L00000X | Anesthesiology | 04-21429 | KS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100113780 A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407358377 | Bryan Black | Specialist/Technologist | 3946 Ice Way Fort Wayne, Fort Wayne, IN 46808 | 2018-03-06 |
| 1952846503 | Bryan Black | Hearing Instrument Specialist | 101 E Alex Bell Rd Ste 166, Centerville, OH 45459-2752 | 2017-01-05 |
| Street Address |
8080 E CENTRAL AVE STE 250 |
| City | WICHITA |
| State | KS |
| Zip Code | 67206-2361 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194727768 | Lyle D Vierthaler | Anesthesiology | 8080 E Central Ave, Ste 250, Wichita, KS 67206-2361 | 2005-08-12 |
| 1225575343 | Gregory Metzen | Nurse Anesthetist, Certified Registered | 8080 E Central Ave, Suite 250, Wichita, KS 67206-2368 | 2017-01-26 |
| 1710436977 | Ryan Roberts | Nurse Anesthetist, Certified Registered | 8080 E Central Ave, Suite 250, Wichita, KS 67206-2368 | 2016-09-29 |
| 1689120685 | Jaimie Hay | Nurse Anesthetist, Certified Registered | 8080 E Central Ave, Suite 250, Wichita, KS 67206-2368 | 2016-08-30 |
| 1427504430 | Zacharias Goudie | Nurse Anesthetist, Certified Registered | 8080 E Central Ave, Suite 250, Wichita, KS 67206-2368 | 2016-08-30 |
| 1366809360 | Braxton Skiles | Nurse Anesthetist, Certified Registered | 8080 E Central Ave, Suite 250, Wichita, KS 67206-2368 | 2016-01-21 |
| 1760849756 | Jessie Tate | Nurse Anesthetist, Certified Registered | 8080 E Central Ave, Suite 250, Wichita, KS 67206-2368 | 2016-01-21 |
| 1063877488 | Scott Mccabe | Nurse Anesthetist, Certified Registered | 8080 E Central Ave, Suite 250, Wichita, KS 67206-2368 | 2015-12-30 |
| 1124497961 | Kaitlyn Demaree | Nurse Anesthetist, Certified Registered | 8080 E Central Ave, Suite 250, Wichita, KS 67206-2368 | 2015-09-23 |
| 1639560055 | Andrew Dell | Nurse Anesthetist, Certified Registered | 8080 E Central Ave, Suite 250, Wichita, KS 67206-2368 | 2015-02-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760020846 | Founders Surgery Center, LLC | Clinic/Center | 1961 N Founders Circle, Wichita, KS 67206 | 2019-12-19 |
| 1174006613 | Courtney Dawn Simon | Physical Therapist | 9360 E Central Ave Ste 100, Wichita, KS 67206 | 2018-09-11 |
| 1902308919 | Center At Waterfront LLC | Skilled Nursing Facility | 1541 North Lindberg Circle, Wichita, KS 67206 | 2018-03-06 |
| 1750804597 | Katelyn Aguiar | Psychologist | 250 N Rock Rd Ste 210, Wichita, KS 67206 | 2017-07-24 |
| 1457888778 | Mona Kay Cherryholmes | Social Worker | 1223 N. Rock Rd, Bldg A. Suite 100, Wichita, KS 67206 | 2017-05-17 |
| 1164899415 | Elizabeth Herl | Marriage & Family Therapist | 250 N Rock Rd Ste 150, Wichita, KS 67206 | 2015-08-21 |
| 1851715510 | Ndjj Corp | Custodial Care Facility | 6403 E Marjore, Wichita, KS 67206 | 2014-02-14 |
| 1801238217 | Courtney Ann Lang | Physical Therapist | 1603 North Chapel Hill Street, Suite 400, Wichita, KS 67206 | 2013-07-26 |
| 1194063032 | Peak Performance Health Pa | Chiropractor | 10111 E 21st St, #106, Wichita, KS 67206 | 2013-01-28 |
| 1750629002 | Rachel Marie Conrad | Speech-Language Pathologist | 1861 N. Rock Rd, Ste 101, Wichita, KS 67206 | 2013-01-22 |
| Find all providers in zip 67206 | ||||
| Taxonomy Code | 207L00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649754789 | Wichita Ambulatory Anesthesia Providers LLC | Anesthesiology | 818 N Emporia St Ste 108, Wichita, KS 67214-3725 | 2018-09-24 |
| 1306290291 | Kimberly Hurd | Anesthesiology | 8080 E Central Ave Ste 250, Wichita, KS 67206-2367 | 2016-04-18 |
| 1194041608 | Wichita Echocardiographers LLC | Anesthesiology | 8080 E. Central, Suite 250, Wichita, KS 67206-2367 | 2010-04-09 |
| 1013145572 | Scott D Mclaren | Anesthesiology | 929 N Saint Francis Ave, Wichita, KS 67214 | 2009-06-23 |
| 1851539431 | Peter Anthony Conrardy | Anesthesiology | 224 E. Douglas Ave., Suite 400 C/o Anesthesia Consulting Services, Wichita, KS 67202 | 2009-02-04 |
| 1043468051 | Charles W Grauel | Anesthesiology | 14821 Sharon Lane, Wichita, KS 67230 | 2008-09-03 |
| 1497976633 | Jared Trevor Scott | Anesthesiology | 3223 N Webb Rd Ste 5, Wichita, KS 67226-8176 | 2007-05-02 |
| 1205933686 | Gregory S. Linhardt | Anesthesiology | 1701 Rocky Glen, Wichita, KS 67230 | 2006-09-20 |
| 1407880586 | Douglas E Cleveland | Anesthesiology | 929 N St Francis St, Wichita, KS 67214-3821 | 2006-07-11 |
| 1962441782 | Harold William Collier | Anesthesiology | 4907 Portwest Cir, Wichita, KS 67204-2362 | 2006-06-06 |
| Find all providers in WICHITA | ||||
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| 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.