Individual provider
MICHAEL ANTHONY BLACK SR., P.A.-C
CMS NPPES lists MICHAEL ANTHONY BLACK SR. as an individual provider record with NPI 1003007311. The current record reports a primary practice location in SPARTANBURG, SC and primary taxonomy code 363A00000X.
Type 1 NPIs identify individual healthcare providers. How to read this profile
01
Practice locations
- Primary practice location1762 E MAIN STSPARTANBURG, SC 293072231
- Additional practice location3600 Darnall LoopCarl R. Darnall Army Medical CenterFt Hood, TX 76544
Only source-designated practice locations are shown here. Mailing addresses are not presented as practice locations.
02
Taxonomy information
363A00000XPrimary reported taxonomy
Taxonomy codes describe provider classifications reported to NPPES. Repeated identical codes are shown once, with primary-reported status preserved. They are not licenses, certifications, quality measures, or NPIFolio specialty labels. Read the taxonomy methodology.
03
NPI record information
- NPI status
- Enumerated in NPPES
- Enumeration date
- August 5, 2007
An NPI is a federal identifier. Enumeration and lifecycle information does not establish medical-license status, current practice, disciplinary history, provider quality, or whether a provider is accepting patients.