Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Philip Black, ATC, PA-C

Individual provider Surgical Physician Assistant · NPI 1023587094

Philip Black, ATC, PA-C is a Physician Assistant in Danbury, Connecticut. Qualified in 2018, 8 years ago. Practices with Nuvance Health Medical Practice CT Inc, a 741-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
8
Licensed in
CT
In the registry since
2018
What do these letters mean?
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

2 Riverview Dr
Danbury, CT 06810-6268
Phone: (203) 797-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 4359 (CT)

Record details

NPI number1023587094
Entity typeIndividual (Type 1)
GenderMale
Credentials ATC , PA-C
Sole proprietorNo
NPI enumeratedNovember 19, 2018
Last updated in NPPESAugust 19, 2024
Certification dateAugust 19, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Nuvance Health Medical Practice Ct Inc — 741 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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