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

Dr. Randall A Black, DO

Individual provider Anesthesiology Physician · NPI 1922028083

Dr. Randall A Black, DO is an Anesthesiology in Nampa, Idaho. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 2003, 23 years ago. Practices with Anesthesiology Consultants of Treasure Valley PLLC, a 27-clinician group and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
23
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
ID
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.

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Practice location Address checks out

1512 12th Ave Rd Anesthesiology Consultants Of Idaho
Nampa, ID 83686-6008
Phone: (208) 571-9043
Show map & directions

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

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence O-0445 (ID)

Record details

NPI number1922028083
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJuly 20, 2006
Last updated in NPPESJanuary 17, 2008
Mailing address1512 12th Ave Rd, Nampa, ID 83686-6008

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 2003 (23 years in practice)
Group practice Anesthesiology Consultants Of Treasure Valley Pllc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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