Active NPI
Ryan Duane Black, D.O.
- Otolaryngology Physician
- Gillette, WY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 14427A
- Practice address
- 469 Highway 50
Gillette, WY 82718-9330 - Phone
- (307) 387-9850
- Fax
- (307) 387-9890
- NPI assigned
- Jan 4, 2007
- Last updated
- Mar 18, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 14427A | WY | Primary |
| Otolaryngic Allergy Physician | 207YX0602X | 14427A | WY |
Addresses
Primary practice location
469 Highway 50
Gillette, WY 82718-9330
Mailing address
201 W Lakeway Rd Ste 1004
Gillette, WY 82718-6349
Phone (307) 387-9850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 208D00000X | Other | OK | TAXONOMY CODE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY, SD, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2251 N Shore Dr
Rhinelander, WI 54501-6710
469 Hwy 50
Gillette, WY 82718-9330
Phone (307) 387-9850
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4276 | OK | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoskinson Health & Wellness Clinic LLC | Current | Accepting new patients | |
| Powder River Surgery Center | Current | Accepting new patients | |
| Campbell County Hospital District | Current | Accepting new patients | |
| Monument Health Rapid City Hospital, Inc. | Current | Accepting new patients | |
| Monument Health Rapid City Hospital Inc | Current | Accepting new patients | |
| Monument Health Rapid City Hospital, Inc | Current | Accepting new patients | |
| Hoskinson Health & Wellness Clinic LLC | Current | Accepting new patients | |
| Campbell County Hospital District | Current | Accepting new patients | |
| Campbell County Hospital District | Current | Accepting new patients | |
| Campbell County Hospital District | Current | Accepting new patients | |
| Campbell County Hospital District | Current | Accepting new patients | |
| Urgent Care of Green Country PLLC | Past | Accepting new patients |
Locations
353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000
4150 5th St
Rapid City, SD 57701
Phone (605) 399-4300
201 W Lakeway Rd
Ste 1004
Gillette, WY 82718
Phone (307) 387-9850
469 Wyoming Highway 50
Gillette, WY 82718
Phone (307) 387-9850
501 S Burma Ave
Gillette, WY 82716
Phone (307) 682-8811
501 S Burma Ave
Fl 3
Gillette, WY 82716
Phone (307) 688-3636
Interoperability endpoints
- https://api.platform.athenahealth.com/26742/brand/1/csg/1/fhir/r4
- ryan.black.1@26742.direct.athenahealth.com
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Gillette, WY
- NPI 1376280750
-
dba Aspirus Stevens Point Clinic - Illinois Avenue
- Clinic/Center
- Stevens Point, WI
- NPI 1144991340
-
dba Campbell County Medical Group - Internal Medicine Clinic
- Internal Medicine Physician
- Gillette, WY
- NPI 1710098868
-
dba Monument Health Behavioral Health Center
- Multi-Specialty Clinic/Center
- Rapid City, SD
- NPI 1275553463
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1538112230
-
dba Campbell County Medical Group-Complex Medicine/Nephrology
- Nephrology Physician
- Gillette, WY
- NPI 1851809842
-
dba Behavioral Health Services
- Substance Use Disorder Rehabilitation Clinic/Center
- Gillette, WY
- NPI 1881730141
-
dba Campbell County Health
- Community/Retail Pharmacy
- Gillette, WY
- NPI 1992874218
-
dba Hoskinson Wound Care
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Gillette, WY
- NPI 1003628611
-
- Ambulatory Surgical Clinic/Center
- Gillette, WY
- NPI 1063040731
-
dba Monument Health Rapid Valley Clinic
- Urgent Care Clinic/Center
- Rapid City, SD
- NPI 1215727854
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Gillette, WY
- NPI 1487638417
-
dba Powder River Surgery Center
- Ambulatory Surgical Clinic/Center
- Gillette, WY
- NPI 1780738153
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742256000000",
"number": "1619024544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 W LAKEWAY RD STE 1004",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827186349",
"telephone_number": "307-387-9850",
"fax_number": "307-387-9890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "469 HIGHWAY 50",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827189330",
"telephone_number": "307-387-9850",
"fax_number": "307-387-9890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLACK",
"first_name": "RYAN",
"middle_name": "DUANE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-04",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "WY",
"license": "14427A",
"primary": true
},
{
"code": "207YX0602X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngic Allergy",
"state": "WY",
"license": "14427A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXONOMY CODE",
"identifier": "208D00000X",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gillette, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.