ERICK BLACK (NPI# 1114250842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114250842 |
| Entity Type | Individual |
| Full Name | ERICK BLACK |
| Credential | CSA |
| Practice Address |
8116 Arlington Blvd Ste 117 Falls Church VA 22042-1002 |
| Practice Telephone | 4046719556 |
| Practice Fax Number | 4046719110 |
| Mailing Telephone | 4046719556 |
| Mailing Fax Number | 4046719110 |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
8116 ARLINGTON BLVD STE 117 |
| City | FALLS CHURCH |
| State | VA |
| Zip Code | 22042-1002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942356761 | Thomas Hegens | Specialist/Technologist, Other | 8116 Arlington Blvd Ste 117, Falls Church, VA 22042-1002 | 2007-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982220190 | Alicia Derusso St. Thomas | Student in an Organized Health Care Education/Training Program | Obgyn Admin Suite 2nd Floor South Tower, 3300 Gallows Rd, Falls Church, VA 22042 | 2020-06-23 |
| 1316574320 | Marina A Kalugina | Radiologic Technologist | 3330 Gallows Rd, Falls Church, VA 22042 | 2020-03-27 |
| 1992347645 | Home Injections Plus LLC | Registered Nurse | 7598 Lakeside Village Dr, Unit E, Falls Church, VA 22042 | 2019-10-15 |
| 1205493129 | Meredith Hooover | Obstetrics & Gynecology | 3300 Gallows Rd Falls Church, Va 22042 - 3307, Arlington, VA 22042 | 2019-05-27 |
| 1699269076 | Ibrahim Tora | Student in an Organized Health Care Education/Training Program | Department of Medicine, Npt-2, 3300 Gallows Rd, Falls Church, VA 22042 | 2018-06-19 |
| 1528559960 | Robert Patton | Student in an Organized Health Care Education/Training Program | Inova Fairfax Medical Campus, 3300 Gallows Road, Department of Medicine, Npt-2, Falls Church, VA 22042 | 2018-05-22 |
| 1144726951 | Helene M Sterbling | Student in an Organized Health Care Education/Training Program | Inova Fairfax Medical Campus, 3300 Gallows Road, Falls Church, VA 22042 | 2018-04-02 |
| 1659876530 | Cassandra Lyn Presti | Obstetrics & Gynecology | 3300 Gallows Rd Fl 2, Falls Church, VA 22042 | 2018-03-24 |
| 1225530157 | Sara Sigler | Audiologist | 3036 Graham Rd - Main Office Suite, Graham Road Community Building, Falls Church, VA 22042 | 2018-03-07 |
| 1003314949 | Ameriwell Clinics Falls Church, LLC | Chiropractor | 6521 Arlington Blvd Suite 402, Falls Church, VA 22042 | 2018-01-25 |
| Find all providers in zip 22042 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144409103 | Jennifer R Archibald | Physician Assistant | 1069 W Broad St, Suite 908, Falls Church, VA 22046-4610 | 2007-10-26 |
| 1104381060 | Pegah Izadpanah | Physician Assistant | 2755 Hartland Rd Ste 300, Falls Church, VA 22043-3545 | 2019-02-05 |
| 1659889228 | Kirby Holland | Physician Assistant | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2018-01-17 |
| 1023472396 | Carrie I Thomas | Physician Assistant | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2016-04-12 |
| 1881034213 | Bernarda Gallagher | Physician Assistant | 8116 Arlington Blvd, Ste #117, Falls Church, VA 22042-1002 | 2013-06-29 |
| 1851640171 | Brian Onuscheck | Physician Assistant | 8116 Arlington Blvd, Ste #117, Falls Church, VA 22042-1002 | 2012-08-31 |
| 1992080048 | Nathaniel Brian Schaefer | Physician Assistant | 2922 Telestar Ct, Falls Church, VA 22042-1206 | 2011-10-19 |
| 1164723524 | Daniel Fernando Naranjo | Physician Assistant | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2010-11-16 |
| 1053541607 | Iyla Tikhonov | Physician Assistant | 3300 Gallows Rd, Falls Church, VA 22042-3307 | 2009-07-16 |
| 1396986923 | Charles Robinson | Physician Assistant | 8116 Arlington Blvd Ste 122, Falls Church, VA 22042-1002 | 2009-03-11 |
| Find all providers in FALLS CHURCH | ||||
| City | FALLS CHURCH |
| Zip Code | 22042 |
Please comment or provide details below to improve the information on ERICK BLACK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.