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

Katherine Ward Black, MD

Individual provider Dermatology Physician · NPI 1699041848

Katherine Ward Black, MD is a Dermatology in Arden Hills, Minnesota. Qualified in 2012, 14 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
14
Licensed in
MN
In the registry since
2012
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3930 Northwoods Dr
Arden Hills, MN 55112-6963
Phone: (651) 523-8500
Fax: (651) 523-8584
Show map & directions

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

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 58487 (MN)

Record details

NPI number1699041848
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2012
Last updated in NPPESApril 2, 2018

Medicare enrollment

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

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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