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MISS FARRAH L BLACK PA
NPI 1063490316
Physician Assistant - Medical in Phoenix, AZ

Active since January 06, 2006
1300 N 12TH ST, STE 500, PHOENIX, AZ 85006(602) 839-2606(602) 839-4123 Get Directions Write a Review

NPPES record last updated: October 2, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Miss Farrah L Black Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS FARRAH L BLACK PA (NPI 1063490316) is an individual medical provider in Phoenix, Arizona, licensed in Arizona (2874) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1063490316
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameMISS FARRAH L BLACKCredential: PA
Location Address1300 N 12TH ST, STE 500Phoenix, AZ 85006-2848
Mailing Address1300 N 12th St, Ste 500Phoenix, AZ 85006-2848 · (602) 839-2606 · Fax (602) 839-4123
Phone(602) 839-2606
Fax(602) 839-4123
Sole ProprietorYes
Enumeration DateJanuary 6, 2006
Last NPPES UpdateOctober 2, 2012
✔ NPI 1063490316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in AZ · 2874
1300 N 12TH ST, Phoenix, AZ 85006
Open in Google Maps ↗

Other Identifiers 2

Medicaid803305AZ
Medicare UPINP99294AZ

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DIANA LYNELLE DABELL M.D.
Emergency Medicine
1300 N 12TH ST, STE 301
PHOENIX, AZ 85006
Maricopa County (602) 839-6968
PINNACLE COLON AND RECTAL SURGEONS, PLLC
Specialist
1300 N 12TH ST, SUITE 619
PHOENIX, AZ 85006
Maricopa County (602) 714-5482
INTERNISTS, ONCOLOGISTS LTD
Internal Medicine (Hematology & Oncology)
1300 N 12TH ST, SUITE 612
PHOENIX, AZ 85006
Maricopa County (602) 258-4875
PHILIP KACZAR MD PC
Internal Medicine
1300 N 12TH ST, SUITE #516
PHOENIX, AZ 85006
Maricopa County (602) 252-3967
BARBARA J RUNQUIST NP
Nurse Practitioner
1300 N 12TH ST, SUITE 404
PHOENIX, AZ 85006
Maricopa County (602) 839-0265
DR. ROBERT DEAN RIERSON MD
Obstetrics & Gynecology
1300 N 12TH ST, SUITE 501
PHOENIX, AZ 85006
Maricopa County (602) 839-4915
VIKTORIA KRAJNC MD
Family Medicine
1300 N 12TH ST, SUITE 605
PHOENIX, AZ 85006
Maricopa County (602) 839-5271
CHERYL L KNIGHT MD
Family Medicine
1300 N 12TH ST
PHOENIX, AZ 85006
Maricopa County (602) 495-4863

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Farrah Black's NPI number?

The NPI number for Farrah Black is 1063490316. It was assigned to this individual provider in the NPPES registry on January 6, 2006.

Where is Farrah Black located?

Farrah Black practices at 1300 N 12th St Ste 500, Phoenix, AZ 85006. The listed phone number is (602) 839-2606.

What is Farrah Black's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

When was this NPI record last updated?

The NPPES record for Farrah Black was last updated on October 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.