MICHAEL W BLACK (NPI# 1780124560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780124560 |
| Entity Type | Individual |
| Full Name | MICHAEL W BLACK |
| Practice Address |
65 Messimer Dr Newark OH 43055-1874 |
| Mailing Address |
50 Oakwood Ave Newark OH 43055-6632 |
| Practice Telephone | 7405228477 |
| Mailing Telephone | 7402818010 |
| Enumeration Date | 2017-02-28 |
| Last Update Date | 2017-02-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| 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 |
| 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 |
| 1659679199 | Michael Black | Counselor | 1212 S Broadway, Suite 200, Denver, CO 80210-1582 | 2011-03-08 |
| Street Address |
65 MESSIMER DR |
| City | NEWARK |
| State | OH |
| Zip Code | 43055-1874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679571913 | Phillip Borders | Psychiatry & Neurology | 65 Messimer Dr, Newark, OH 43055-1874 | 2005-07-11 |
| 1275132557 | Ashley Thompson | Case Manager/Care Coordinator | 65 Messimer Dr, Newark, OH 43055-1874 | 2020-10-19 |
| 1699382093 | Sydney E Marvin | Counselor | 65 Messimer Dr, Newark, OH 43055-1874 | 2020-09-29 |
| 1558976373 | Taylor M Wright | Social Worker | 65 Messimer Dr, Newark, OH 43055-1874 | 2020-09-09 |
| 1659981892 | Anne M Underwood | Case Manager/Care Coordinator | 65 Messimer Dr, Newark, OH 43055-1874 | 2020-08-03 |
| 1619586195 | Adelle Keller | Nurse Practitioner | 65 Messimer Dr, Newark, OH 43055-1874 | 2020-07-30 |
| 1740898543 | Kaitlyn Nicole Merringer | Social Worker | 65 Messimer Dr, Newark, OH 43055-1874 | 2020-07-17 |
| 1649896564 | James D Armour | Counselor | 65 Messimer Dr, Newark, OH 43055-1874 | 2020-06-17 |
| 1538792759 | Laurie Gray | Licensed Practical Nurse | 65 Messimer Dr, Newark, OH 43055-1874 | 2020-02-17 |
| 1851923304 | Kelly Schuhurt | Case Manager/Care Coordinator | 65 Messimer Dr, Newark, OH 43055-1874 | 2020-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
| 1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
| 1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
| 1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
| 1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
| 1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
| 1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
| 1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
| 1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
| 1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
| Find all providers in zip 43055 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982223897 | Verne Taylor | Case Manager/Care Coordinator | 36397 Dijon Dr, Newark, CA 94560-2458 | 2020-04-10 |
| 1669006698 | Kennedy Asa Smith | Case Manager/Care Coordinator | 15 N 3rd St # 200, Newark, OH 43055-5550 | 2020-02-28 |
| 1942848403 | Amia J Pinckney | Case Manager/Care Coordinator | 243 South 11th Street, Newark, NJ 07103-0710 | 2019-12-16 |
| 1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
| 1730735473 | Valllery Supplice | Case Manager/Care Coordinator | 218 Sherman Ave, Newark, NJ 07114-1650 | 2019-08-16 |
| 1497233084 | Leighanna Wagner | Case Manager/Care Coordinator | 1547 Crystal Ct Apt D, Newark, OH 43055-6184 | 2018-08-06 |
| 1689192817 | Melanie Swarthout | Case Manager/Care Coordinator | 150 Van Buren St., Newark, NY 14513 | 2017-09-08 |
| 1154857779 | Julian King | Case Manager/Care Coordinator | 2590 Loper Rd Ne, Newark, OH 43055-9728 | 2017-05-02 |
| 1548617103 | Jose Andres Morales | Case Manager/Care Coordinator | 541 Roseville Av., Newark, NJ 07107 | 2016-05-24 |
| 1619324563 | Juliana N Dasilva | Case Manager/Care Coordinator | 59 Wilson Ave, #3, Newark, NJ 07105-3216 | 2016-05-20 |
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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.