MIKE A BLACK CEPS NREMT NPI 1942716998

NPI Information

NPI: 1942716998
Provider Name: MIKE A BLACK, CEPS, NREMT
Classification: Internal Medicine - 207RC0001X
Entity Type: Individual

Specialization: Clinical Cardiac Electrophysiology

Address:
4989 S STATE ST UNIT 57768
SALT LAKE CITY, UT
ZIP 84157
Phone: (916) 217-1584
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Mike A Black, CEPS, NREMT is a clinical cardiac electrophysiology internal medicine in Salt Lake City, UT. The provider is a field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. Mike A Black, CEPS, NREMT NPI is 1942716998. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4989 S STATE ST UNIT 57768
SALT LAKE CITY, UT
ZIP 84157-032
Phone: (916) 217-1584
Fax: (866) 722-1584

The enumeration date for this NPI number is 12/28/2017 and was last updated on 5/3/2019.

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
1	146N00000X	Emergency Medical Technician, Basic		E1160515		No
2	246W00000X	Technician, Cardiology		60434882	WASHINGTON	No
3	207RC0001X	Internal Medicine	Clinical Cardiac Electrophysiology	161255	DISTRICT OF COLUMBIA	Yes

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: 4/28/2024

NPI Synchronization or Removal

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