Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679735138 Individual Practitioner Male Practitioner

Darryll W. Black , PA-C

Physician Assistant • Wright-Patterson Afb, OH

Professional Overview & Biography Verified Profile Summary

Darryll Black, PA-C is a registered healthcare professional specializing in Physician Assistant in Wright-Patterson Afb, OH. Practice services are available at 88 MDG under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

88 Mdg
4881 Sugar Maple Dr

Wright-Patterson Afb, OH 454335529

Telephone 9372576569

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Wright-Patterson Afb, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 9.7 Yrs
Regional Practice Density
22 Specialists

Practicing in Wright-Patterson Afb, OH (5376 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

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IN 10002023A

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.

Physician Assistant - Surgical

NUCC Taxonomy Code: 363AS0400X

State License PA MA053346

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0171202 (OH)
Medicaid State Provider ID
OPR (IN)

Practice Associates & Co-Workers

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

8 Associated Practitioners
NPI 1215977921

Doctor of Osteopathic Medicine (D.O.), Master of Public Health

Dr. Ruth Roa-Navarrete , PsyD, MS

Psychologist - Clinical

NPI 1235126640

Doctor of Psychology (Psy.D.), Master of Science

Dr. Guy Newland , MD

Preventive Medicine - Addiction Medicine

NPI 1245280817

Doctor of Medicine (M.D.)

Dr. John Hatfield , DO, DC, MPH, MOH

Preventive Medicine - Aerospace Medicine

NPI 1598092702

Doctor of Osteopathic Medicine (D.O.), Doctor of Chiropractic, Master of Public Health, MOH

Jason Richard , CRNA

Nurse Anesthetist, Certified Registered

NPI 1770620262

Certified Registered Nurse Anesthetist

Dr. Terry Correll , DO

Psychiatry & Neurology - Psychiatry

NPI 1821162587

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

13 Historical Events
📍
Updated Practice Location April 11, 2018

Registered at 88 MDG, 4881 SUGAR MAPLE DR, WRIGHT-PATTERSON AFB, OH 454335529 (Tel: 9372576569)

📍
Updated Business Mailing Address April 11, 2018

Registered at 88 MDG, 4881 SUGAR MAPLE DR, WRIGHT-PATTERSON AFB, OH 454335529 (Tel: 9372576569)

NPI Profile Active January 18, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 18, 2017

Registered at 58 GLORIA AVE, NEW LEBANON, OH 453451124 (Tel: 4125594042)

📍
Updated Business Mailing Address January 18, 2017

Registered at 58 GLORIA AVE, NEW LEBANON, OH 453451124 (Tel: 4125594042)

👤
Provider Name / Credentials Updated January 18, 2017

Recorded as DARRYLL BLACK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2017

Physician Assistant (License #10002023A in IN)

NPI Profile Active August 30, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location August 30, 2016

Registered at 1100 REID PKWY, RICHMOND, IN 473741157 (Tel: 7659833492)

📍
Updated Business Mailing Address August 30, 2016

Registered at 1100 REID PKWY, MEDICAL STAFF SERVICES, RICHMOND, IN 473741157 (Tel: 7659833492)

👤
Provider Name / Credentials Updated August 30, 2016

Recorded as DARRYLL BLACK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2016

Physician Assistant (License #10002023A in IN)

🟢
Initial NPI Registration & Enumeration June 26, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Darryll Black. Be the first to share your experience!

Sign in to leave a review for Darryll Black

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1679735138
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 26, 2008
Last Update: April 11, 2018
Sole Proprietor: No

Mailing Address

88 Mdg, 4881 Sugar Maple Dr

Wright-Patterson Afb, OH 454335529

Phone: 9372576569

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.