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

Mr. Andrew P Black, PA-C

Individual provider Medical Physician Assistant · NPI 1790011724

Mr. Andrew P Black, PA-C is a Physician Assistant in Dayton, Ohio. Qualified in 2009, 17 years ago. Practices with Susan Murphy, a 4-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
17
Licensed in
OH
In the registry since
2009
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

6438 Wilmington Pike Ste 110
Dayton, OH 45459-7021
Phone: (937) 848-4121
Fax: (937) 848-5965
Show map & directions

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

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 50-002937 (OH)

Record details

NPI number1790011724
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 27, 2009
Last updated in NPPESMarch 26, 2018

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Susan Murphy — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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