John A. Black, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

35057918 Issued in OH

Practice address

1622 E Turkeyfoot Lake Rd
#301
Akron, OH 44312-5277

Phone

(330) 344-8565

Fax

(330) 896-7085

NPI assigned

May 5, 2006

Sex

Male

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Internal Medicine of Akron

  • Internal Medicine Physician
  • Akron, OH
  • NPI 1477645935
  NPD (past)
• Partners Physician Group

  • Family Medicine Physician
  • Akron, OH
  • NPI 1023301025
  NPD (past)
• Partners Physician Group

  • Orthopaedic Foot and Ankle Surgery Physician
  • Mogadore, OH
  • NPI 1033476908
  NPD (past)
• Partners Physician Group

  • Cardiovascular Disease Physician
  • Akron, OH
  • NPI 1043511595
  NPD (past)
• Partners Physician Group

  • Surgery Physician
  • Lodi, OH
  • NPI 1124067160

  Obstetrics & Gynecology

  NPD (past)
• Partners Physician Group

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Akron, OH
  • NPI 1144401464
  NPD (past)
• Partners Physician Group

  • Family Medicine Physician
  • Cuyahoga Falls, OH
  • NPI 1184091621
  NPD (past)
• Partners Physician Group

  • Orthopaedic Surgery Physician
  • Stow, OH
  • NPI 1235439787
  NPD (past)
• Partners Physician Group

  • Vascular Surgery Physician
  • Wooster, OH
  • NPI 1265700520
  NPD (past)
• Partners Physician Group

  • Orthopaedic Hand Surgery Physician
  • Akron, OH
  • NPI 1306103270
  NPD (past)
• Partners Physician Group

  • Orthopaedic Surgery Physician
  • Fairlawn, OH
  • NPI 1326348871
  NPD (past)
• Partners Physician Group

  • Surgery Physician
  • Akron, OH
  • NPI 1336329259
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 4

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 4, 2015.

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1083662639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1622 E TURKEYFOOT LAKE RD",
            "address_2": "#301",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125277",
            "telephone_number": "330-344-8565",
            "fax_number": "330-896-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 E TURKEYFOOT LAKE RD",
            "address_2": "#301",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125277",
            "telephone_number": "330-344-8565",
            "fax_number": "330-896-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACK",
        "first_name": "JOHN",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "35057918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP TYPE 2 NPI #",
            "identifier": "1841239274",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP MEDICAID GROUP #",
            "identifier": "2551671",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0743440",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP MEDICARE GROUP #",
            "identifier": "9338635",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Black, RBT
• Andre Black, LSW
• Calina Black
• Daisiree Lauren Black
• Imiya Paris Black
• Karlene Black, MED
• Paula Sojourner Black, RN
• Quatana M Black
• Julie Blackburn, RD LD
• Martha Grace Blackford, PHARM. D.

• All providers in Akron, OH
• Obstetrics & Gynecology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.