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

Individual provider Family Medicine Physician · NPI 1811955388

Katheryn K Black, DO is a Family Practice in Phoenix, Arizona. Graduated from Western University of Health Sciences College of Dental Med in 1986, 40 years ago. Practices with Dhew Ind Hlth Sv Hlth Svs and Mntl Hlth Adm, a 223-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
40
Trained at
Western University of Health Sciences College of Dental Med
Licensed in
AZ
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

4212 N 16th St
Phoenix, AZ 85016
Phone: (602) 263-1200
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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 007526 (AZ)

Record details

NPI number1811955388
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 3, 2006
Last updated in NPPESMay 31, 2018
Mailing address4212 N 16th St, Phoenix, AZ 85016-5319

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolWESTERN UNIVERSITY OF HEALTH SCIENCES COLLEGE OF DENTAL MED
Graduated 1986 (40 years in practice)
Group practice Dhew Ind Hlth Sv Hlth Svs And Mntl Hlth Adm — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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