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

Dr. Randall Wayne Black, MD

Individual provider Otolaryngology Physician · NPI 1942268909

Dr. Randall Wayne Black, MD is an Otolaryngology in Rogers, Arkansas. Graduated from University of Arkansas College of Medicine in 1988, 38 years ago. Practices with Mercy Health Northwest Arkansas Communities, a 316-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
38
Trained at
University of Arkansas College of Medicine
Licensed in
AR
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

5204 W Redbud St
Rogers, AR 72758
Phone: (479) 636-0110
Fax: (479) 631-0491
Show map & directions

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

Specialties & licences

Otolaryngology Physician (primary) Taxonomy 207Y00000X · Licence C7458 (AR)

Record details

NPI number1942268909
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 1, 2006
Last updated in NPPESJuly 15, 2014
Mailing address5204 W Redbud Street, Rogers, AR 72758

Medicare enrollment

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

Medicare specialtyOTOLARYNGOLOGY
Medical schoolUNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Graduated 1988 (38 years in practice)
Group practice Mercy Health Northwest Arkansas Communities — 316 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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