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

Charles Dewayne Black, DO

Individual provider Emergency Medical Services (Emergency Medicine) Physician · NPI 1891757860

Charles Dewayne Black, DO is an Emergency Medical Services (Emergency Medicine) Physician in Ardmore, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2006.

Licensed in
OK
In the registry since
2006
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.

See every abbreviation used in this directory →

Practice location Address checks out

1011 14th Ave NW ER Dept
Ardmore, OK 73401-1828
Phone: (580) 220-6415
Fax: (405) 749-4561
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medical Services (Emergency Medicine) Physician (primary) Taxonomy 207PE0004X · Licence 3023 (OK)

Record details

NPI number1891757860
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 5, 2006
Last updated in NPPESNovember 9, 2007
Mailing address4401 W Memorial Rd, Suite 121, Oklahoma City, OK 73134-1785

Other providers in Ardmore