Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alyssa Gail Black, DO

Individual provider Family Medicine Physician · NPI 1497383400

Alyssa Gail Black, DO is a Family Practice in Olive Hill, Kentucky. Qualified in 2020, 6 years ago. Practices with St Claire Medical Center Inc, a 180-clinician group and accepts Medicare assignment. Licensed in Kentucky.

Years since qualifying
6
Licensed in
KY
In the registry since
2020
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

155 Bricklayer St
Olive Hill, KY 41164-1268
Phone: (606) 286-4152
Fax: (606) 286-2385
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 05595 (KY)

Record details

NPI number1497383400
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 27, 2020
Last updated in NPPESJune 6, 2025
Certification dateMay 21, 2025
Mailing address234 Medical Cir, Morehead, KY 40351-1194

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice St. Claire Medical Center Inc — 180 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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