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

Kristen Haas Black, DO

Individual provider Obstetrics & Gynecology Physician · NPI 1982965034

Kristen Haas Black, DO is an Obstetrics/Gynecology in Riverton, Utah. Qualified in 2012, 14 years ago. Practices with Ihc Health Services Inc, a 3,947-clinician group and accepts Medicare assignment. Licensed in Michigan and Utah.

Years since qualifying
14
Licensed in
MI, UT
In the registry since
2012
Specialties on file
2
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

3723 W 12600 S Ste 360
Riverton, UT 84065-7296
Phone: (801) 285-4700
Fax: (801) 285-4701
Show map & directions

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

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 9732284-1204 (UT)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 5101019941 (MI)

Record details

NPI number1982965034
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 5, 2012
Last updated in NPPESJune 8, 2026
Certification dateJune 8, 2026
Mailing addressPo Box 27128, Salt Lake City, UT 84127-0128

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Ihc Health Services Inc — 3947 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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