MICHAEL L. BLACK M.D. – NPI #1497730857
Family Medicine

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Health Care Provider Taxonomy Code for Family Medicine

MICHAEL BLACK is a physician located in POLAND, OH. NPPES has assigned the NPI number 1497730857 to MICHAEL BLACK on December 08, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207Q00000X from the Health Care Provider Taxonomy code set, which is classified as Family Medicine.

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MICHAEL BLACK below.

NPI Profile for
MICHAEL L. BLACK

NPI Number
1497730857
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
MICHAEL L. BLACK
Credentials
M.D.
Primary location
6615 CLINGAN ROAD
SUITE A
POLAND, OH 44514-4202
Phone: (330) 707-1425 Fax: (330) 757-2814
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Identifiers

Identifiers for MICHAEL BLACK

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERLICENSEOH35069367
MEDICAIDOH2104752
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207Q00000X
- Family Medicine (Primary)		 OH 35069367

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
OHIO STATE UNIVERSITY COLLEGE OF MEDICINE - Graduated 1994
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
MICHAEL BLACK is affiliated with the following medical group(s):
  • HOSPITAL
    • HMHP ST ELIZABETH BOARDMAN HEALTH CENTER
      8401 MARKET STREET
      BOARDMAN, OH 44512
    • ST ELIZABETH YOUNGSTOWN HOSPITAL
      1044 BELMONT AVENUE
      YOUNGSTOWN, OH 44501
    • SURGICAL HOSPITAL AT SOUTHWOODS
      7630 SOUTHERN BLVD
      YOUNGSTOWN, OH 44512
  • HOME HEALTH AGENCY
    • PATRIOT HOMECARE, INC
      986 TIBBETTS-WICK ROAD
      GIRARD, OH 44420
  • NURSING HOME
    • MASTERNICK MEMORIAL HEALTH CARE CENTER
      5250 WINDSOR WAY
      NEW MIDDLETOWN, OH 44442
  • HOSPICE
    • AKESO HOME HOSPICE INC
      3000 BELMONT AVENUE
      YOUNGSTOWN, OH 44505

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

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