JOSHUA JAY BLACK


Address: 807 E Washington St Ste 220, Medina, OH 44256-3330
Phone: 3305363746

JOSHUA JAY BLACK (NPI# 1669024246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1669024246
Entity Type Individual
Full Name JOSHUA JAY BLACK
Credential APRN, PMHNP-BC
Practice Address 807 E Washington St Ste 220
Medina
OH 44256-3330
Mailing Address 13154 Navarre Rd Sw
Beach City
OH 44608-9749
Practice Telephone 3305363746
Mailing Telephone 3304179497
Enumeration Date 2019-07-12
Last Update Date 2019-07-12
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
APRN.CNP.025127 OH Physician Assistants & Advanced Practice Nursing Providers

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1396120408 Joshua Paul Black Nurse Practitioner 2501 Citico Ave, Chattanooga, TN 37404-1127 2015-07-30
1124405691 Joshua T Black Family Medicine 107 Brandon Rd, Starkville, MS 39759 2015-05-04
1144661042 Joshua Ewing Black Pharmacist 2780 Wilma Rudolph Blvd, Clarksville, TN 37040-5897 2013-07-09
1366685885 Joshua S. Black Dermatology 3574 Sunset Blvd, West Columbia, SC 29169-3044 2009-04-14
1245437185 Joshua D. Black Internal Medicine 410 W 10th Ave, Columbus, OH 43210-1240 2007-07-02
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Office Location

Street Address 807 E WASHINGTON ST STE 220
City MEDINA
State OH
Zip Code 44256-3330

Providers in the same location

NPI Name Taxonomy Address Enumeration
1689160442 Charissa Duffy Nurse Practitioner 807 E Washington St Ste 220, Medina, OH 44256-3330 2018-07-05
1306490248 Jacquelynn Marie Hoffman Nurse Practitioner 807 E Washington St Ste 220, Medina, OH 44256-3330 2019-07-29
1568937563 Dale Lachance Nurse Practitioner 807 E Washington St Ste 220, Medina, OH 44256-3330 2018-10-05

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215577408 Phil Mcclelland Counselor 520 Miller Dr, Medina, OH 44256 2020-01-15
1619519444 Lauren Marie Blakney Nurse Practitioner 970 E Washington St., Medina, OH 44256 2019-10-14
1558922286 Jennifer Sue Arhin Nurse Practitioner 807 E Washington St., Ste 220, Medina, OH 44256 2019-06-24
1891263927 Jena Christine Palmer Nurse Practitioner 817 E Washington Street, Medina, OH 44256 2018-11-07
1154849891 Janelle Liggett-schultz Licensed Practical Nurse 8170 Coon Club Rd, Medina, OH 44256 2017-09-01
1942725478 Amanda Kay Byrne Registered Nurse 1000 Concord Dr., Medina, OH 44256 2017-08-05
1821526922 Melissa Marie Rutti Nurse Practitioner 111 Reagan Pkwy, Medina, OH 44256 2017-06-01
1992238919 Lisa Scherler Speech-Language Pathologist 3880 Ridge Rd., Medina, OH 44256 2017-04-06
1770026502 Victoria Lee Ayala Speech-Language Pathologist 390 Fair Street, Berea, OH 44256 2016-11-28
1982076626 Finding Your Identity LLC Community/Behavioral Health 124 West Lafayette Road, Suite 100, Medina, OH 44256 2015-10-21
Find all providers in zip 44256

Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1770184707 Joanna Sue Tricaso-torrence Nurse Practitioner 3567 Reserve Commons Dr Ste 100, Medina, OH 44256-5344 2020-11-05
1558922286 Jennifer Sue Arhin Nurse Practitioner 807 E Washington St., Ste 220, Medina, OH 44256 2019-06-24
1891263927 Jena Christine Palmer Nurse Practitioner 817 E Washington Street, Medina, OH 44256 2018-11-07
1689160442 Charissa Duffy Nurse Practitioner 807 E Washington St Ste 220, Medina, OH 44256-3330 2018-07-05
1740896273 Christina Redfern Nurse Practitioner 3593 Medina Rd # 181, Medina, OH 44256-8182 2020-09-21
1316563463 Amy Rocco Nurse Practitioner 807 E Washington St, Medina, OH 44256-3338 2020-06-24
1306490248 Jacquelynn Marie Hoffman Nurse Practitioner 807 E Washington St Ste 220, Medina, OH 44256-3330 2019-07-29
1568014215 Alexandra Marie Gaff Nurse Practitioner 807 E Washington St, Medina, OH 44256-3338 2019-07-12
1376015594 Ryan Michael Bednar Nurse Practitioner 246 Northland Dr Ste 200a, Medina, OH 44256-3440 2018-12-28
1568937563 Dale Lachance Nurse Practitioner 807 E Washington St Ste 220, Medina, OH 44256-3330 2018-10-05
Find all providers in MEDINA

Competitor

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City MEDINA
Zip Code 44256

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Dataset Information

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.

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