MICHAEL R BLACK (NPI# 1588892194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588892194 |
| Entity Type | Individual |
| Full Name | MICHAEL R BLACK |
| Credential | M.D. |
| Practice Address |
98 State St Proctorville OH 45669-8163 |
| Practice Telephone | 7408869403 |
| Practice Fax Number | 7404465153 |
| Mailing Telephone | 7408869403 |
| Mailing Fax Number | 7404465153 |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2018-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 35098736 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0067640 | 05 | |
| WV | 3810023380 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699061390 | Michael Richard Black | Psychologist | 2913 N Commonwealth Ave Rm 301, Saint Joseph Hospital Campus, Manor Building, Chicago, IL 60657-6211 | 2011-06-22 |
| 1659392256 | Michael Darryl Black | Surgery | 927 45th St Ste 301, West Palm Beach, FL 33407-2450 | 2006-07-21 |
| 1437703873 | Michael Anthony Black | Counselor | 230 Main Street Ext, Middletown, CT 06457-4470 | 2019-07-24 |
| 1104488816 | Michael David Black | Occupational Therapist | 600 N Robbins Rd, Boise, ID 83702-4565 | 2019-07-02 |
| 1376016873 | Michael Vincent Black | Specialist/Technologist | 535 E 70th St, New York, NY 10021-4823 | 2019-01-07 |
| 1750858072 | Michael R Black | Registered Nurse | 901 Rainier Ave S, Seattle, WA 98144-2839 | 2018-10-24 |
| 1134652217 | Michael Black | Student in an Organized Health Care Education/Training Program | 700 Lawrence Expy, Santa Clara, CA 95051-5173 | 2017-04-06 |
| 1780124560 | Michael W Black | Case Manager/Care Coordinator | 65 Messimer Dr, Newark, OH 43055-1874 | 2017-02-28 |
| 1851732499 | Michael Anthony Black | Marriage & Family Therapist | 1313 E Maple St, Bellingham, WA 98225-5708 | 2013-07-11 |
| 1952655888 | Michael Emery Black | Physical Therapist | 2525 S 135th Ave, Omaha, NE 68144-2424 | 2012-10-30 |
| Street Address |
98 STATE ST |
| City | PROCTORVILLE |
| State | OH |
| Zip Code | 45669-8163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427026616 | Steven J Merkel | Family Medicine | 98 State St, Proctorville, OH 45669-8163 | 2006-03-14 |
| 1114399474 | Mittra Esmaeili | Family Medicine | 98 State St, Proctorville, OH 45669-8163 | 2015-10-27 |
| 1134434830 | Alicia Renee Johnson | Physician Assistant | 98 State St, Proctorville, OH 45669-8163 | 2010-08-18 |
| 1285881649 | Christina R. Senior | Physical Therapist | 98 State St, Proctorville, OH 45669-8163 | 2008-08-27 |
| 1124168406 | Glenn Scott Davis | Internal Medicine | 98 State St, Proctorville, OH 45669-8163 | 2007-02-07 |
| 1114946886 | Larissa L. Horner | Physical Therapist | 98 State St, Proctorville, OH 45669-8163 | 2006-07-19 |
| 1336165638 | Tammy L. Walls | Physical Therapist | 98 State St, Proctorville, OH 45669-8163 | 2006-07-14 |
| 1659397826 | Christa Grady | Physical Therapist | 98 State St, Proctorville, OH 45669-8163 | 2006-07-14 |
| 1013948694 | Jeremy Clifton Cuzzourt | Otolaryngology | 98 State St, Proctorville, OH 45669-8163 | 2006-07-05 |
| 1053364828 | Glen P. Imlay | Physical Medicine & Rehabilitation | 98 State St, Proctorville, OH 45669-8163 | 2006-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982061180 | Garrett Wireman | Specialist/Technologist | 229 Private Road 253, Proctorville, OH 45669 | 2016-01-20 |
| 1619391380 | Cabell Huntington Hospital, Inc | Nurse Practitioner | 7718 County Rd 107, Proctorville, OH 45669 | 2014-02-14 |
| 1265732812 | Advanced Neuro Diagnostics | Chiropractor | 100 Township Road 1245, Proctorville, OH 45669 | 2010-10-29 |
| 1902080047 | Gabriel Stapleton | Pharmacist | 6306 State Rt 7, Proctorville, OH 45669 | 2007-12-26 |
| 1932221819 | Lsg Hearing Aid Center Inc | Hearing Instrument Specialist | 502 State Street, Proctorville, OH 45669 | 2007-04-04 |
| 1376695130 | A & L Home Care and Training Center, LLC | Home Health | 6129 County Road 107, Proctorville, OH 45669 | 2007-01-18 |
| 1184705519 | Thomas Lambiotte | Physical Therapist | 96 Township Rd, 369 Suite 104, Proctorville, OH 45669 | 2006-10-19 |
| 1619901410 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 6306 County Road 107, Proctorville, OH 45669 | 2006-07-10 |
| 1689600496 | Michael J. Zirille | Family Medicine | 292 Township Road 1525, Proctorville, OH 45669 | 2006-06-23 |
| 1245285758 | Liberty Circle Ear Nose & Throat Inc. | Otolaryngology | 96 Township Road 369 Suite 101, Proctorville, OH 45669 | 2006-05-23 |
| Find all providers in zip 45669 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487215984 | Ohio Valley Physicians Inc | Family Medicine | 6272 County Road 107, Proctorville, OH 45669-8867 | 2019-06-25 |
| 1689600496 | Michael J. Zirille | Family Medicine | 292 Township Road 1525, Proctorville, OH 45669 | 2006-06-23 |
| 1134172208 | Patti Jo Marcum | Family Medicine | 7718 County Road 107, Proctorville, OH 45669-7928 | 2006-05-18 |
| 1427026616 | Steven J Merkel | Family Medicine | 98 State St, Proctorville, OH 45669-8163 | 2006-03-14 |
| 1518597988 | Ovp Health Care Inc | Family Medicine | 6276 County Road 107, Proctorville, OH 45669-8867 | 2020-01-24 |
| 1114399474 | Mittra Esmaeili | Family Medicine | 98 State St, Proctorville, OH 45669-8163 | 2015-10-27 |
| 1053363101 | C. Steven Batiste | Family Medicine | 98 State St, Proctorville, OH 45669-8163 | 2006-05-17 |
| 1598725806 | Linda Miller Savory | Family Medicine | 7718 County Road 107, Attn: Tammie Silva, Proctorville, OH 45669-7928 | 2006-03-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255948667 | Grace Laszlo | Family Medicine | 2385 Creek View Pl, Grove City, OH 43123-1518 | 2020-09-29 |
| 1396350138 | Kelly Crego-lee | Family Medicine | 321 Neal Rd, Saint Paris, OH 43072-9305 | 2020-09-09 |
| 1669087524 | Deanna Tiffiene Thompson | Family Medicine | 895 Slagle Pl, Galloway, OH 43119-8821 | 2020-09-08 |
| 1982218145 | Kara Day | Family Medicine | 5867 Dantawood Ln, Liberty Twp, OH 45044-1309 | 2020-09-04 |
| 1669086260 | Family Care Plus Clinic LLC | Family Medicine | 4490 Darrow Rd, Stow, OH 44224-1885 | 2020-09-02 |
| 1619580693 | Erica Jayne Mack | Family Medicine | 542 W Mulberry St, Lancaster, OH 43130-2907 | 2020-08-28 |
| 1588277669 | Sarah Elizabeth Ruth Wilcox | Family Medicine | 3146 Grange Hill Pl, Dublin, OH 43017-1794 | 2020-08-28 |
| 1073126314 | Stawa Rajab Blanco | Family Medicine | 4900 Delhi Rd, Cincinnati, OH 45238-5345 | 2020-08-26 |
| 1154933463 | Amanda Taylor Greenrod | Family Medicine | 11010 Gabriella Dr, Parma, OH 44130-1468 | 2020-08-18 |
| 1457962110 | Mt. Eaton Medical Group | Family Medicine | 15988 E Chestnut St, Mt. Eaton, OH 44659 | 2020-08-14 |
| Find all providers with the same taxonomy | ||||
| City | PROCTORVILLE |
| Zip Code | 45669 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.