Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1831441336 Individual Practitioner Male Practitioner

Ryan W. T. Black , PA-C

Physician Assistant • Dallas, TX

Professional Overview & Biography Verified Profile Summary

Ryan Black, PA-C is a registered healthcare professional specializing in Physician Assistant in Dallas, TX. Practice services are available at 4500 S LANCASTER RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4500 S Lancaster Rd

Dallas, TX 752167167

Telephone 2147428387
Associated Practice Facility / Clinic
🏢 Dallas Vamc Facility NPI 1174572416

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Dallas, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.9 Yrs
State Avg: 13.9 Yrs
Regional Practice Density
1173 Specialists

Practicing in Dallas, TX (11140 Statewide)

Telehealth Adoption Rate
17.9% 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 TX PA12641

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

NUCC Taxonomy Code: 363A00000X

State License NY 015931

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.

Secondary Practice Locations

111 E 210th St

Bronx, NY 104672490

Phone: 7189202060

Practice Associates & Co-Workers

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

40 Associated Practitioners
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Pharmacist

NPI 1003678954
NPI 1013787308

Licensed Master Social Worker

NPI 1023102852
NPI 1023272721

Doctor of Pharmacy (Pharm.D.)

Rachel Gratz , PA

Physician Assistant

NPI 1023668688

Physician Assistant

NPI 1023849247

Doctor of Pharmacy (Pharm.D.)

Career & Practice History Timeline

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

10 Historical Events
📍
Updated Practice Location July 22, 2019

Registered at 4500 S LANCASTER RD, DALLAS, TX 752167167 (Tel: 2147428387)

📍
Updated Business Mailing Address July 22, 2019

Registered at 4500 S LANCASTER RD, DALLAS, TX 752167167

📍
Updated Business Mailing Address June 05, 2019

Registered at 1108 FERNDALE DR, ALLEN, TX 750133364

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2019

Physician Assistant (License #PA12641 in TX)

NPI Profile Active November 25, 2016

NPI status registered as active in NPPES database

📍
Updated Practice Location November 25, 2016

Registered at 111 E 210TH ST, BRONX, NY 104672490 (Tel: 7189202060)

📍
Updated Business Mailing Address November 25, 2016

Registered at 111 E 210TH ST, BRONX, NY 104672401

👤
Provider Name / Credentials Updated November 25, 2016

Recorded as RYAN BLACK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 25, 2016

Physician Assistant (License #015931 in NY)

🟢
Initial NPI Registration & Enumeration October 08, 2012

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: 1831441336
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 08, 2012
Last Update: July 22, 2019
Sole Proprietor: No

Mailing Address

4500 S Lancaster Rd

Dallas, TX 752167167

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.