HAROLD MICAGAH BLACK (NPI# 1831198084) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831198084 |
| Entity Type | Individual |
| Full Name | HAROLD MICAGAH BLACK |
| Other Name | MIKE BLACK |
| Credential | CRNA |
| Practice Address |
3600 Joseph Siewick Dr Fairfax VA 22033-1709 |
| Mailing Address |
Po Box 37090 Baltimore MD 21297-3090 |
| Practice Telephone | 7033913129 |
| Practice Fax Number | 7032959369 |
| Mailing Telephone | 7032959360 |
| Mailing Fax Number | 7032959369 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2008-09-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 0024070513 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | AMERIGROUP | 298077 | 01 |
| VA | ANTHEM | 139180 | 01 |
| VA | 1831198084 | 05 | |
| DC | CAREFIRST | K142-0002 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972538346 | Harold Lee Black | Chiropractor | 1315 Highway 1187 Ste 101, Mansfield, TX 76063-6134 | 2006-07-12 |
| 1720411317 | Harold Black | Case Manager/Care Coordinator | 132 Lower Ridge Rd, Conway, AR 72032-8518 | 2013-08-19 |
| 1619016490 | Harold Steve Black | Chiropractor | 630 S Grand Ave, Suite #105, Santa Ana, CA 92705-4164 | 2007-02-06 |
| 1881750511 | Harold A Black | Dentist | 839 W Congress St, El Rio Hc Dental Program, Tucson, AZ 85745-2819 | 2006-12-28 |
| 1861563553 | Harold A. Black | Dentist | 808 6th St, Hempstead, TX 77445-5402 | 2006-11-13 |
| 1881776284 | Harold A Black | Dentist | 6602 Abercorn St, Suite 101, Savannah, GA 31405-5848 | 2006-10-19 |
| Street Address |
3600 JOSEPH SIEWICK DR |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22033-1709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407854250 | Maria Lucille Fain | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2005-07-14 |
| 1679171847 | Lucy Holden Cusack | Registered Nurse | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2020-10-11 |
| 1346854189 | Kathleen Nicole Jennings | Registered Nurse | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2020-08-31 |
| 1730792649 | Amy Christine Byerle | Registered Nurse | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2020-08-29 |
| 1184235863 | Nancy Lynn Forrest | Registered Nurse | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2020-08-14 |
| 1639780323 | Laura Ann Cintorino | Registered Nurse | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2020-08-14 |
| 1366053332 | Elizabeth Abando | Registered Nurse | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2020-08-13 |
| 1124639992 | Sarah A Mcdonald | Registered Nurse | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2020-08-13 |
| 1134633597 | Previtha Sanna Mathews | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2017-11-21 |
| 1427590629 | Qian Feng | Specialist/Technologist, Other | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2016-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366074320 | Han S Yoo | Pharmacist | 12200 West Ox Road, Fairfax, VA 22033 | 2020-02-07 |
| 1386137271 | Ammar Orthodontics Pllc | Dentist | 11702 Fiar Oaks Mall, Upper Floor, Fairfax, VA 22033 | 2018-06-14 |
| 1013360940 | Kellyn Patricia Dodd | Nurse Practitioner | 3903 Fair Ridge Dr Ste 209, Fairfax, VA 22033 | 2016-07-15 |
| 1659721363 | John Du Od PC | Optometrist | 12618 Victoria Station Ct, Fairfax, VA 22033 | 2016-06-14 |
| 1568861904 | Virginia Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 12734 Shoppes Lane, Fairfax, VA 22033 | 2014-08-21 |
| 1649696295 | Patrisha Lultschik | Nurse Practitioner | 12375 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2014-03-06 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1578999314 | Aiatulah Surmaty | Optometrist | 11801 Lee Jackson Memorial Hwy, Fairfax, VA 22033 | 2013-09-25 |
| 1356780928 | Ayatallah M. Khafagy | Obstetrics & Gynecology | 3650 Joseph Siewick Dr Suite 203, Fairfax, VA 22033 | 2013-06-17 |
| 1760726665 | Michelle Elise Schwartz | Speech-Language Pathologist | 3507 Curtice Farm Dr, Fairfax, VA 22033 | 2012-11-15 |
| Find all providers in zip 22033 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487011532 | Ysabel Pelaez | Nurse Anesthetist, Certified Registered | 8225 Adenlee Ave, Apt 10, Fairfax, VA 22031-4825 | 2016-01-20 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1992037741 | Ronald L Bridges | Nurse Anesthetist, Certified Registered | 3998 Fair Ridge Drive, Ste. #300, Suite 402, Fairfax, VA 22033 | 2010-02-04 |
| 1386680841 | Joan S Speed | Nurse Anesthetist, Certified Registered | 11240 Waples Mill Rd Ste 403, Fairfax, VA 22030-6078 | 2006-06-22 |
| 1447245733 | Eva C Abrenica | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Drive, Fair Oaks Hospital, Fairfax, VA 22033 | 2005-09-13 |
| 1407854250 | Maria Lucille Fain | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2005-07-14 |
| 1134633597 | Previtha Sanna Mathews | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2017-11-21 |
| 1295185643 | Caroline Sexson | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2016-06-16 |
| 1295181386 | Lindsey Catherine Marthy | Nurse Anesthetist, Certified Registered | 3300 Gallows Road, Fairfax, VA 22042 | 2016-05-09 |
| 1598130171 | Tyler Berch | Nurse Anesthetist, Certified Registered | 11781 Lee Jackson Memorial Hwy, #550, Fairfax, VA 22033-3309 | 2015-12-08 |
| Find all providers in FAIRFAX | ||||
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| 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.