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HAROLD MICAGAH BLACK CRNA NPI 1831198084


NPI Information

NPI: 1831198084
Provider Name: HAROLD MICAGAH BLACK, CRNA
Classification: Nurse Anesthetist, Certified Registered - 367500000X
Entity Type: Individual
Organization: RESTON ANESTHESIA ASSOCIATES PC Address:
3600 JOSEPH SIEWICK DR
FAIRFAX, VA
ZIP 22033
Phone: (703) 391-3129
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Harold Micagah Black, CRNA is a nurse anesthetist certified registered in Fairfax, VA with 40 years of experience. The provider is (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. Harold Micagah Black, CRNA NPI is 1831198084. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1984

The provider's business location address is:

3600 JOSEPH SIEWICK DR
FAIRFAX, VA
ZIP 22033-709
Phone: (703) 391-3129
Fax: (703) 295-9369

The enumeration date for this NPI number is 7/19/2005 and was last updated on 9/9/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1367500000XNurse Anesthetist, Certified Registered0024070513VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1139180OTHERVIRGINIAANTHEM
2006341F89MEDICARE PINDISTRICT OF COLUMBIA
3K142-0002OTHERDISTRICT OF COLUMBIACAREFIRST
4009369F81MEDICARE ID-TYPE UNSPECIFIEDVIRGINIA
5000065A50MEDICARE ID-TYPE UNSPECIFIEDVIRGINIAPROVIDER ID
6298077OTHERVIRGINIAAMERIGROUP
7430069092MEDICARE ID-TYPE UNSPECIFIEDVIRGINIARAILROAD
81831198084MEDICAIDVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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