Michael Jason Black, M.D.
Michael Jason Black is a Surgery Physician provider (Surgery) practicing in Appleton, WI, registered in the NPPES registry with NPI 1720036387 since 2006. The credential MD stands for Doctor of Medicine. Practices at Fox Valley Surgical Associates Ltd (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1720036387 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Michael Jason Black |
| Credential | M.D. |
| Sex | Male |
| Practice address | 2000 E MILESTONE DR, Appleton, WI, 54913 |
| Phone | 9207318131 |
| Fax | 9208320444 |
| Enumeration date | 2006-05-05 |
| Last updated in NPPES | 2025-07-22 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208600000X | Surgery Physician | Secondary | 46688 | WI |
| 208600000X | Surgery Physician | Primary | 46688-020 | WI |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Copy-ready billing details
Provider: Michael Black, M.D. NPI: 1720036387 Taxonomy: 208600000X (Surgery Physician) Address: 2000 E MILESTONE DR, Appleton, WI, 54913
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1659363802 | Dean Sutton | Individual | Nurse Practitioner | Appleton, WI |
| 1285626465 | Charles Cheng | Individual | Surgery Physician | Appleton, WI |
| 1902898182 | Robert Ballard | Individual | Vascular Surgery Physician | Appleton, WI |
| 1528053758 | Christopher Wagner | Individual | Surgery Physician | Appleton, WI |
| 1376594952 | Fox Valley Surgical Associates Ltd | Organization | Surgery Physician | Appleton, WI |
| 1356378731 | Christine Arendt | Individual | Nurse Practitioner | Appleton, WI |
| 1912155250 | Eric Stanelle | Individual | Surgery Physician | Appleton, WI |
| 1033359401 | Matthew Bay | Individual | Surgical Physician Assistant | Appleton, WI |
Verify this record
Cross-check NPI 1720036387 against the authoritative CMS record: view Michael Jason Black on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-07-22.