DR. RANDALL WAYNE BLACK (NPI# 1942268909) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942268909 |
| Entity Type | Individual |
| Full Name | DR. RANDALL WAYNE BLACK |
| Credential | MD |
| Practice Address |
5204 W Redbud Street Rogers AR 72758 |
| Practice Telephone | 4796360110 |
| Practice Fax Number | 4796310491 |
| Mailing Telephone | 4796360110 |
| Mailing Fax Number | 4796310491 |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2014-07-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Y00000X | Otolaryngology | C7458 | AR | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215017850 | Randall L Black | Psychiatry & Neurology | 1805 N Jackson, Suite 4, Tullahoma, TN 37388 | 2006-10-17 |
| 1043322068 | Randall Black | Social Worker | 1610 Calico Canyon Ln, Pearland, TX 77581-5574 | 2006-08-31 |
| 1922028083 | Randall A Black | Anesthesiology | 1512 12th Ave Rd, Anesthesiology Consultants of Idaho, Nampa, ID 83686-6008 | 2006-07-20 |
| Street Address |
5204 W REDBUD STREET |
| City | ROGERS |
| State | AR |
| Zip Code | 72758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417588690 | Premier Hospitalists of Nwa, Pllc | Hospitalist | 4313 S Pleasant Crossing Blvd, Rogers, AR 72758 | 2020-01-28 |
| 1447893235 | Kelsey Elizabeth Sutton | Speech-Language Pathologist | 2100 West Perry Rd, Rogers, AR 72758 | 2019-10-24 |
| 1447700299 | Shannon Kaima | Physician Assistant | 5900 W Stoney Brook Rd Apt 14207, Rogers, AR 72758 | 2016-10-05 |
| 1801345426 | The Exclusive Eye, Pllc | Optometrist | 5100 W Pauline Whitaker Parkway, 107, Rogers, AR 72758 | 2016-09-23 |
| 1780063909 | Nicholas Honea | Nurse Anesthetist, Certified Registered | 4600 Centre Court, Rogers, AR 72758 | 2015-05-20 |
| 1811388945 | Amanda M Hawes | Physician Assistant | 1000 S. 52nd Street, Rogers, AR 72758 | 2015-02-11 |
| 1316354087 | Natalie Horine | Chiropractor | 4305 S Pleasant Crossing Blvd Ste 102, Rogers, AR 72758 | 2014-07-15 |
| 1205248903 | Clyde K. Tempel | Registered Nurse | 2100 W. New Hope Rd. #1804, Rogers, AR 72758 | 2014-05-29 |
| 1548692445 | Becky Tadlock Ross | Pharmacist | 1766 West Laurel, Rogers, AR 72758 | 2013-08-01 |
| 1497190797 | Medical Associates of Northwest Arkansas Pa | Pediatrics | 3730 S Pinnacle Hills Pkwy Ste 3, Rogers, AR 72758 | 2013-05-01 |
| Find all providers in zip 72758 | ||||
| Taxonomy Code | 207Y00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Otolaryngology |
| An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Otolaryngology, 2007. http://www.aboto.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Otolaryngology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316069297 | James W Ragland | Otolaryngology | 5204 W Redbud St, Rogers, AR 72758-8936 | 2007-04-04 |
| 1184745150 | Chad W Putman | Otolaryngology | 5204 W Redbud St, Rogers, AR 72758-8936 | 2007-04-03 |
| 1154389344 | John Reed Lee | Otolaryngology | 5204 W Redbud St, Rogers, AR 72758-8936 | 2006-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134608961 | Baptist Health Services | Otolaryngology | 520 Towson Ave, Suite A, Fort Smith, AR 72901 | 2018-08-13 |
| 1992125850 | White River Health System, Inc. | Otolaryngology | 501 Virginia Dr Ste A, Batesville, AR 72501-7317 | 2014-04-18 |
| 1437590080 | John R Sims | Otolaryngology | 8901 Carti Way Ste 201, Little Rock, AR 72205-6523 | 2013-07-11 |
| 1467726539 | William Rolland Eddington | Otolaryngology | 2564 Greene Road 739, Paragould, AR 72450-8859 | 2012-03-06 |
| 1558650960 | Graham Michael Strub | Otolaryngology | 1 Childrens Way # 836, Little Rock, AR 72202-3500 | 2011-04-06 |
| 1346478484 | Family Ent & Sinus Center of Harrison, P.a. | Otolaryngology | 1401 Mccoy Drive, Harrison, AR 72601-2417 | 2009-06-28 |
| 1376760215 | Robert Vernon Borg | Otolaryngology | 214 Leigh Cir, Hot Springs, AR 71901-7758 | 2007-04-20 |
| 1225170376 | Jason A Smith | Otolaryngology | 4901 Fairway Ave, Suite C, North Little Rock, AR 72116-6923 | 2007-02-13 |
| 1689730459 | Gordon Carl Shipp | Otolaryngology | 4301 W Markham St # 543, Little Rock, AR 72205-7101 | 2006-12-28 |
| 1275605206 | Sharon Marie Tomaski | Otolaryngology | 620 W Grove St Ste 201, El Dorado, AR 71730-4425 | 2006-11-14 |
| Find all providers with the same taxonomy | ||||
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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.