Physician Assistant
Mr. DARRYLL BLACK PA-C
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1679735138 · enumerated 2008-06-26 · record updated 2018-04-11. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 88 MDG, 4881 SUGAR MAPLE DR, WRIGHT-PATTERSON AFB, OH, 45433-5529 (937) 257-6569 Google Maps Apple Maps OpenStreetMap
- Practice location 88 MDG, 4881 SUGAR MAPLE DR, WRIGHT-PATTERSON AFB, OH, 45433-5529 (937) 257-6569 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant 363A00000X · Primary · License 10002023A IN
- Physician Assistant, Surgical 363AS0400X · License MA053346 PA
In this directory
Locations and evidence
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Practice location
WRIGHT-PATTERSON AFB, OH, 454335529
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.