DR EVAN G BLACK LLC NPI 1902074115

NPI Information

  • NPI: 1902074115
  • Provider Name: DR EVAN G BLACK LLC
  • Classification: Neurological Surgery - 207T00000X
  • Entity Type: Organization
  • Doing Business As: ROCKY MOUNTAIN NEUROLOGY
  • Address: 5323 WOODROW ST # 120W
    SUITE 201
    MURRAY, UT
    ZIP 84107
  • Phone: (801) 261-4711
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NPI Details

DR EVAN G BLACK LLC is a neurological surgery in Murray, UT. The provider is a neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. DR EVAN G BLACK LLC NPI is 1902074115. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Rocky Mountain Neurology.

The provider's business location address is:

5323 WOODROW ST # 120W
SUITE 201
MURRAY, UT
ZIP 84107-841
Phone: (801) 261-4711
Fax: (801) 261-4769

The provider's authorized official is Jennifer Dawson .
The authorized official title is Clinic Manager and has the following contact phone number (801) 408-5702.

The enumeration date for this NPI number is 2/11/2008 and was last updated on 2/12/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207T00000XNeurological Surgery187597-1205UTAHYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1130012929OTHERUTAHRAILRAOD MEDICARE
2000058123MEDICARE PINUTAH
31902074115MEDICAIDUTAH
4G02584MEDICARE UPINUTAH

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: 6/30/2024

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