Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497375570 Individual Practitioner Male Practitioner

John Michael Black

General Practice • Offutt Afb, NE

Professional Overview & Biography Verified Profile Summary

John Black is a registered healthcare professional specializing in General Practice in Offutt Afb, NE. Practice services are available at 2501 CAPEHART RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2501 Capehart Rd

Offutt Afb, NE 681131043

Telephone 4022329431
Fax 4022949138
Associated Practice Facility / Clinic
🏢 55 Mdos Facility NPI 1881095669

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Offutt Afb, NE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 27.6 Yrs
Regional Practice Density
4 Specialists

Practicing in Offutt Afb, NE (56 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-04-06
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License NE 34164

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
Dr. Bradley Kusler , MD

Military Health Care Provider

NPI 1104988385

Doctor of Medicine (M.D.)

Dr. Edwin Fernandez , DNP, APRN, FNP-C

Nurse Practitioner - Family

NPI 1235649245

Doctor of Nursing Practice, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Karolyn Harris , IDMT

Military Health Care Provider - Independent Duty Medical Technicians

NPI 1255561973
Claude Russo , IDMT

Military Health Care Provider - Independent Duty Medical Technicians

NPI 1407082522
Dr. Wayne Sumpter , MD, MPH

Preventive Medicine - Aerospace Medicine

NPI 1811980261

Doctor of Medicine (M.D.), Master of Public Health

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location April 06, 2022

Registered at 2501 CAPEHART RD, OFFUTT AFB, NE 681131043 (Tel: 4022329431)

📍
Updated Business Mailing Address April 06, 2022

Registered at 2501 CAPEHART RD, OFFUTT AFB, NE 681131043 (Tel: 4022329431)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 06, 2022

General Practice (License #34164 in NE)

NPI Profile Active April 20, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location April 20, 2020

Registered at 3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 782344504 (Tel: 2102927805)

📍
Updated Business Mailing Address April 20, 2020

Registered at 3551 ROGER BROOKE DR, JBSA FT SAM HOUSTON, TX 782344504 (Tel: 2102927805)

👤
Provider Name / Credentials Updated April 20, 2020

Recorded as JOHN BLACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 20, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration April 20, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497375570
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 20, 2020
Last Update: April 06, 2022
Sole Proprietor: No

Mailing Address

2501 Capehart Rd

Offutt Afb, NE 681131043

Phone: 4022329431

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.