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MR. DARRYLL W. BLACK PA-C
NPI 1679735138
Physician Assistant in Wright-patterson Afb, OH

Active since June 26, 2008
88 MDG, 4881 SUGAR MAPLE DR, WRIGHT-PATTERSON AFB, OH 45433(937) 257-6569 Get Directions Write a Review

NPPES record last updated: April 11, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 11, 2018, Jan 18, 2017, Aug 30, 2016 (3 updates tracked since 2016).

About Mr. Darryll W. Black Pa-c NPPES

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

MR. DARRYLL W. BLACK PA-C (NPI 1679735138) is an individual physician assistant in Wright-patterson Afb, Ohio, licensed in Indiana (10002023A) and active in the NPI registry since June 2008.

NPPES Registry Identity

NPI1679735138
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. DARRYLL W. BLACKCredential: PA-C
Location Address88 MDG, 4881 SUGAR MAPLE DRWright-patterson Afb, OH 45433-5529
Mailing Address88 Mdg, 4881 Sugar Maple DrWright-patterson Afb, OH 45433-5529 · (937) 257-6569
Phone(937) 257-6569
Sole ProprietorNo
Enumeration DateJune 26, 2008
Last NPPES UpdateApril 11, 20183 updates tracked since enumeration
✔ NPI 1679735138 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IN · 10002023A
Definition
A 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.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License MA053346 (PA)
88 MDG, Wright-patterson Afb, OH 45433
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Other Identifiers 2

Medicaid0171202OH
MedicaidOPRIN

Other Providers at the Same Location NPPES 12

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

DR. BRYAN HERSCH FNP
Nurse Practitioner (Family)
88 MDG, 4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-6565
DR. DAVID CHRISTOPHER MILLER DO, MPH
Family Medicine
88 MDG, 4881 SUGAR MAPLE DRIVE
WRIGHT-PATTERSON AFB, OH 45433
Greene County (937) 257-3103
DR. RUTH A ROA-NAVARRETE PSY.D., M.S.
Psychologist (Clinical)
88 MDG, 4881 SUGAR MAPLE DR.
WRIGHT-PATTERSON AFB, OH 45433
Greene County (937) 257-6877
GUY M NEWLAND M.D.
Preventive Medicine (Addiction Medicine)
88 MDG, 4881 SUGAR MAPLE DR
WRIGHT-PATTERSON AFB, OH 45433
Greene County (937) 938-2734
DR. GLENN DAVID BURNS MD
Emergency Medicine
88 MDG, 4881 SUGAR MAPLE DR
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-8838
JACQUELYN M GRIFFIN MSW, LISW
Social Worker (Clinical)
88 MDG, 4881 SUGER MAPLE DR.
WRIGHT PATTERSON AFB, OH 45433
Greene County (937) 257-6639
DR. JOHN MICHAEL HATFIELD DO, DC, MPH, MOH
Preventive Medicine (Aerospace Medicine)
88 MDG, 4881 SUGAR MAPLE DR.
WRIGHT-PATTERSON AFB, OH 45433
Greene County (937) 938-3718
DR. TERRY LEE CORRELL D.O.
Psychiatry & Neurology (Psychiatry)
88 MDG, 4881 SUGAR MAPLE DR.
WRIGHT-PATTERSON AFB, OH 45433
Greene County (937) 938-2768

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 Darryll Black's NPI number?

The NPI number for Darryll Black is 1679735138. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Where is Darryll Black located?

Darryll Black practices at 88 Mdg 4881 Sugar Maple Dr, Wright-Patterson Afb, OH 45433. The listed phone number is (937) 257-6569.

What is Darryll Black's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Darryll Black was last updated on April 11, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.