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MR. DAVID L BLACK PAC
NPI 1427042092
Physician Assistant - Surgical in Harrisburg, PA

Active since September 09, 2005PECOS Enrolled
4310 LONDONDERRY RD, SUITE 202, HARRISBURG, PA 17109(717) 920-7664(717) 920-4361 Get Directions Write a Review

NPPES record last updated: February 19, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. David L Black Pac NPPES

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

MR. DAVID L BLACK PAC (NPI 1427042092) is an individual surgical provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (MA000813L) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1427042092
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameMR. DAVID L BLACKCredential: PAC
Location Address4310 LONDONDERRY RD, SUITE 202Harrisburg, PA 17109-5300
Mailing Address1700 S Lincoln AveLebanon, PA 17042-7529 · (717) 272-6621 · Fax (717) 228-6156
Phone(717) 920-7664
Fax(717) 920-4361
Sole ProprietorNo
Enumeration DateSeptember 9, 2005
Last NPPES UpdateFebruary 19, 2020
✔ NPI 1427042092 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in PA · MA000813L
4310 LONDONDERRY RD, Harrisburg, PA 17109
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Other Identifiers 2

Other50041402PA · Blue Cross
Other0993475PA · Keystone

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. David L Black Pac is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

KRISTIN KAPLEWICZ
Occupational Therapist
4310 LONDONDERRY RD
HARRISBURG, PA 17109
Dauphin County (717) 657-7520
HALEY SPANGLER DPT
Physical Therapist
4310 LONDONDERRY RD
HARRISBURG, PA 17109
Dauphin County (717) 657-7520
TARA M MATTSON PT
Physical Therapist
4310 LONDONDERRY RD, 2ND FLOOR
HARRISBURG, PA 17109
Dauphin County (717) 657-7520
MR. ANTHONY L CALVELLO IV DPT
Physical Therapist
4310 LONDONDERRY RD
HARRISBURG, PA 17109
Dauphin County (717) 657-7520
MICHELLE A LINKER PT
Physical Therapist
4310 LONDONDERRY RD, 2ND FLOOR
HARRISBURG, PA 17109
Dauphin County (717) 657-7520
DEANNA GILLESPIE PT
Physical Therapist
4310 LONDONDERRY RD, 2ND FL
HARRISBURG, PA 17109
Dauphin County (717) 657-7520
DR. GREGORY DOUGLAS WOOD MD
Obstetrics & Gynecology
4310 LONDONDERRY RD, SUITE 101
HARRISBURG, PA 17109
Dauphin County (717) 652-6605
RYAN J MACKEY PT
Physical Therapist
4310 LONDONDERRY RD, 2ND FLOOR
HARRISBURG, PA 17109
Dauphin County (717) 657-7520

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 David Black's NPI number?

The NPI number for David Black is 1427042092. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Where is David Black located?

David Black practices at 4310 Londonderry Rd Suite 202, Harrisburg, PA 17109. The listed phone number is (717) 920-7664.

What is David Black's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is David Black enrolled in Medicare?

Yes. David Black is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for David Black was last updated on February 19, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.