Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AUSTIN J BLACK, CRNA
ActiveCertified Nurse Anesthetist (CRNA) · ROGERS, AR
Registration Details
- NPI Number
- 1669171849
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 27, 2023 (3.1463642307108 yrs)
- Last Updated
- Jun 26, 2023
- Licenses
-
2016021022 (MO)225111 (AR)
Practice Information
- Address
-
2710 S RIFE MEDICAL LNROGERS, AR, 727581452Browse AR providers · Browse ZIP 72758
- Phone
- 4793388000
- Fax
- 4793383056
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
- Additional Specialty
- Certified Nurse Anesthetist (CRNA)
Other Certified Nurse Anesthetist (CRNA) Providers in ROGERS, AR
| Name | Credential | NPI |
|---|---|---|
| MR. BRADLEY WIERDA | CRNA | 1770560518 |
| VERNON O TUCKER | CRNA | 1417937657 |
| MRS. SUSAN HEADY WISEMAN | CRNA | 1538139704 |
| RENEE M CEOLA | CRNA | 1588624878 |
| STEVEN DEREK CEOLA | CRNA | 1023078318 |
| DAVID C AIKEN | CRNA | 1508826751 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.