MICHAEL ANTHONY BLACK SR. P.A.-C NPI 1003007311

Physician Assistant in Ft Hood, TX

About MICHAEL BLACK

Michael Black is a provider in Ft Hood, TX. The NPI number assigned to this provider is 1003007311. The practitioner's primary taxonomy code is Physician Assistant (363A00000X). The provider is registered as an individual and their NPI record was last updated 10 years ago.

NPI1003007311 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name MICHAEL ANTHONY BLACK SR. P.A.-C
Provider Location Address3600 DARNALL LOOP CARL R. DARNALL ARMY MEDICAL CENTER FT HOOD, TX 76544 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address3600 DARNALL LOOP CARL R. DARNALL ARMY MEDICAL CENTER FT HOOD, TX 76544 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date08-05-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date08-05-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

MICHAEL ANTHONY BLACK SR. P.A.-C
3600 DARNALL LOOP
CARL R. DARNALL ARMY MEDICAL CENTER
FT HOOD, TX
ZIP 76544
Phone: (254) 286-7927
Get Directions

Mailing Address

MICHAEL ANTHONY BLACK SR. P.A.-C
3600 DARNALL LOOP
CARL R. DARNALL ARMY MEDICAL CENTER
FT HOOD, TX
ZIP 76544
Phone:

Primary Taxonomy

Taxonomy Code363A00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.PA10004010
License StateWA
Taxonomy DescriptionA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Map Location


MICHAEL ANTHONY BLACK SR. P.A.-C address is 3600 DARNALL LOOP CARL R. DARNALL ARMY MEDICAL CENTER FT HOOD, TX 76544

Other Providers at the same location


The following 9 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235179912 JAMES OTTO MORSE M.D.
Individual
Internal Medicine3600 DARNALL LOOP
FORT HOOD, TX 76544
(254) 288-8082
1386713022MR. EDWARD DEAN EACRETT PA-C
Individual
Physician Assistant3600 DARNALL LOOP
FORT HOOD, TX 76544
(254) 285-6414
1518998798DR. RICHARD DAVID ERFF D.O.
Individual
Anesthesiology (Pain Medicine)3600 DARNALL LOOP ATTN BOX 55 ANESTHESIA DEPARTMENT
FORT HOOD, TX 76544
(254) 288-8197
1700197522DR. JAMES JORDAN ERNST M.D.
Individual
Anesthesiology3600 DARNALL LOOP CARL R. DARNALL ARMY MEDICAL CENTER
FORT HOOD, TX 76544
(856) 520-3377
1780057257 VENEE MARIE HUMMEL LMSW
Individual
Social Worker3600 DARNALL LOOP CARL R. DARNALL ARMY MEDICAL CENTER,
FORT HOOD, TX 76544
(254) 288-1638
1891899225 WILLIAM ALLEN BROCK CRNA
Individual
Nurse Anesthetist, Certified Registered3600 DARNALL LOOP CARL R DARNALL ARMY MEDICAL CENTER
FORT HOOD, TX 76544
(254) 288-8570
1932302767 SHAMIMA S KHAN M.D.
Individual
Psychiatry & Neurology (Psychiatry)3600 DARNALL LOOP CARL R. DARNALL ARMY MEDICAL CENTER
FORT HOOD, TX 76544
(254) 553-2288
1952363871 MARK A ROMERO PHARMACIST
Individual
Pharmacist3600 DARNALL LOOP
FT. HOOD, TX 76544
(254) 288-8000
1972949691 IAN FLETCHER RYMER M.D.
Individual
Student in an Organized Health Care Education/Training Program3600 DARNALL LOOP ATTN: MCXI-DEM
FORT HOOD, TX 76544
(254) 288-8303