MIKE A BLACK CEPS, NREMT
NPI 1942716998
Internal Medicine - Clinical Cardiac Electrophysiology in Salt Lake City, UT

Active since December 28, 2017
4989 S STATE ST UNIT 57768, SALT LAKE CITY, UT 84157(916) 217-1584(866) 722-1584 Get Directions Write a Review

NPPES record last updated: May 3, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 3, 2019, Dec 28, 2017 (2 updates tracked since 2017).

About Mike A Black Ceps, Nremt NPPES

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

MIKE A BLACK CEPS, NREMT (NPI 1942716998) is an individual clinical cardiac electrophysiology provider in Salt Lake City, Utah, licensed in District Of Columbia (161255) and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1942716998
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameMIKE A BLACKCredential: CEPS, NREMT
Location Address4989 S STATE ST UNIT 57768Salt Lake City, UT 84157-5032
Mailing AddressPo Box 57768Murray, UT 84157-0768 · (916) 217-1584 · Fax (866) 722-1584
Fax(866) 722-1584
Sole ProprietorNo
Enumeration DateDecember 28, 2017
Last NPPES UpdateMay 3, 20192 updates tracked since enumeration
NPI 1942716998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
License Licensed in DC · 161255
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Also ListedEmergency Medical Technician, BasicTaxonomy 146N00000X · License E1160515
Also ListedTechnician, CardiologyTaxonomy 246W00000X · License 60434882 (WA)
4989 S STATE ST UNIT 57768, Salt Lake City, UT 84157

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 Mike Black's NPI number?

The NPI number for Mike Black is 1942716998. It was assigned to this individual provider in the NPPES registry on December 28, 2017.

Where is Mike Black located?

Mike Black practices at 4989 S State St Unit 57768, Salt Lake City, UT 84157. The listed phone number is (916) 217-1584.

What is Mike Black's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

When was this NPI record last updated?

The NPPES record for Mike Black was last updated on May 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.