Michael Lane Black (NPI# 1497730857, PAC ID# 6305845280) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1497730857 |
| PAC ID by PECOS | 6305845280 |
| Professional Enrollment ID | I20061205000081 |
| Full Name | Michael Lane Black |
| Organization Legal Name | POLAND MEDICAL CENTER LTD |
| Address |
6615 Clingan Rd A Poland OH 44514-2135 |
| Phone Number | 3307577211 |
| Gender | M |
| Credential | MD |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3678572559 |
| Number of Group Practice Members | 11 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360276 | HMHP ST ELIZABETH BOARDMAN HEALTH CENTER |
| 360064 | ST ELIZABETH YOUNGSTOWN HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 6615 Clingan Rd, A, Poland, OH 44514-2135 | 3307577211 | POLAND MEDICAL CENTER LTD |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_EP_1 | e-Prescribing | 98% | |
| ACI_EC_TRANS_HIE_1 | Health Information Exchange | 38% | |
| ACI_EC_TRANS_MR_1 | Medication Reconciliation | 99% | |
| ACI_EC_TRANS_PEA_1 | Provide Patient Access | 96% | |
| ACI_EC_TRANS_PEA_2 | View, Download, or Transmit (VDT) | 15% | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PSE_1 | Patient-Specific Education | 66% | |
| ACI_EC_TRANS_SM_1 | Secure Messaging | 24% |
| Organization Legal Name | POLAND MEDICAL CENTER LTD |
| Physicians | 15 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Saba Sheik | Internal Medicine | Poland Medical Center Ltd | 6615 Clingan Rd, A, Poland, OH 44514-2135 |
| Matthew Gugliotti | Family Medicine | Poland Medical Center Ltd | 6615 Clingan Rd, F, Poland, OH 44514-2196 |
| Sandy P Naples | Family Medicine | Poland Medical Center Ltd | 6615 Clingan Rd, F, Poland, OH 44514-2196 |
| Michael B Evan | Family Medicine | Poland Medical Center Ltd | 6615 Clingan Rd, A, Poland, OH 44514-2135 |
| Walter John Passarello | Family Medicine | Poland Medical Center Ltd | 6615 Clingan Rd, C, Poland, OH 44514-2135 |
| Michael Joseph Obrien Jr. | Family Medicine | Poland Medical Center Ltd | 6615 Clingan Rd, A, Poland, OH 44514-2135 |
| Robert Moser | Internal Medicine | Poland Medical Center Ltd | 6615 Clingan Rd, A, Poland, OH 44514-2135 |
| Nino C Rubino | Family Medicine | Poland Medical Center Ltd | 6615 Clingan Rd, C, Poland, OH 44514-2135 |
| Arthur W Duran | Family Medicine | Poland Medical Center Ltd | 6615 Clingan Rd, C, Poland, OH 44514-2135 |
| Christopher S Shaw | Internal Medicine | Poland Medical Center Ltd | 6615 Clingan Rd, A, Poland, OH 44514-2135 |
| Street Address |
6615 CLINGAN RD A |
| City | POLAND |
| State | OH |
| Zip | 44514-2135 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Saba Sheik | Internal Medicine | Poland Medical Center Ltd | 6615 Clingan Rd, A, Poland, OH 44514-2135 |
| Matthew Gugliotti | Family Medicine | Poland Medical Center Ltd | 6615 Clingan Rd, F, Poland, OH 44514-2196 |
| Sandy P Naples | Family Medicine | Poland Medical Center Ltd | 6615 Clingan Rd, F, Poland, OH 44514-2196 |
| Michael B Evan | Family Medicine | Poland Medical Center Ltd | 6615 Clingan Rd, A, Poland, OH 44514-2135 |
| Walter John Passarello | Family Medicine | Poland Medical Center Ltd | 6615 Clingan Rd, C, Poland, OH 44514-2135 |
| Michael Joseph Obrien Jr. | Family Medicine | Poland Medical Center Ltd | 6615 Clingan Rd, A, Poland, OH 44514-2135 |
| Robert Moser | Internal Medicine | Poland Medical Center Ltd | 6615 Clingan Rd, A, Poland, OH 44514-2135 |
| Nino C Rubino | Family Medicine | Poland Medical Center Ltd | 6615 Clingan Rd, C, Poland, OH 44514-2135 |
| Arthur W Duran | Family Medicine | Poland Medical Center Ltd | 6615 Clingan Rd, C, Poland, OH 44514-2135 |
| Christopher S Shaw | Internal Medicine | Poland Medical Center Ltd | 6615 Clingan Rd, A, Poland, OH 44514-2135 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberly A Macdonald | Speech Language Pathologist | Speech and Language Lab | 5512 Youngstown Poland Rd, Youngstown, OH 44514-1427 |
| Alex J Vrable | General Practice | 5900 Youngstown Poland Rd, Youngstown, OH 44514-1475 | |
| Konstantinos D Galouzis | Chiropractic | Total Health and Wellness, Inc | 263 W Mckinley Way Unit, Suite 101, Poland, OH 44514-1688 |
| Rebecca Williams | Physical Therapy | Total Health and Wellness, Inc | 263 W Mckinley Way Unit, Suite 101, Poland, OH 44514-1688 |
| Thomas A Divito | Chiropractic | 44 N Main St, Poland, OH 44514-1697 | |
| Ronald J Ruscitti | Chiropractic | 7067 Tiffany Blvd, Suite 280, Poland, OH 44514-1803 | |
| David Stebelton Od | Optometry | 14 S Main St, Poland, OH 44514-1914 | |
| Michael G Chichak | Internal Medicine | Urgent Care Specialists LLC | 1305 Boardman Poland Rd, Poland, OH 44514-1935 |
| Joseph Fisher | Nurse Practitioner | Urgent Care Specialists LLC | 1301 Boardman Poland Rd, Poland, OH 44514-1935 |
| Melinda Culbertson | Nurse Practitioner | Urgent Care Specialists LLC | 1301 Boardman Poland Rd, Poland, OH 44514-1935 |
| Find all physicians in zip 44514 | |||
| City | POLAND |
| Zip Code | 44514 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | POLAND + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Michael Lane Black.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.