Robert Lee Black III, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

640 Alden St
Meadville, PA 16335-2348

Phone

(814) 373-5255

Fax

(814) 373-5259

NPI assigned

Jun 7, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Paoletta Counseling Services, IncGroup PAC ID 4486628450, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor of Science, Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rblack@mchcbh.direct.emds.com
• Direct secure messaging: robert.black.2@33638.direct.athenahealth.com

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.

• Paoletta Counseling Services, Inc

  • Clinic/Center
  • Mercer, PA
  • NPI 1508801887
  Medicare reassignment Care Compare group NPD
• Tenor Health Foundation Sharon, LLC

  • Psychiatric Hospital Unit
  • Sharon, PA
  • NPI 1659182269
  Medicare reassignment NPD
• University of Pittsburgh Physicians

  • Gastroenterology Physician
  • Pittsburgh, PA
  • NPI 1619935004
  Medicare reassignment
• Steward Medical Group Inc.

  • Internal Medicine Physician
  • Brookfield, OH
  • NPI 1902347438

  PA

  Medicare reassignment
• University of Pittsburgh Physicians

  • Diagnostic Radiology Physician
  • Pittsburgh, PA
  • NPI 1285692699
  NPD
• University of Pittsburgh Physicians

  • Emergency Medicine Physician
  • Pittsburgh, PA
  • NPI 1861457830
  NPD
• Steward Medical Group, Inc

  • Specialist
  • Brighton, MA
  • NPI 1013220151
  NPD
• Steward Medical Group, Inc

  • Specialist
  • Brighton, MA
  • NPI 1356654495
  NPD
• Primary Care Services

  • Internal Medicine Physician
  • Meadville, PA
  • NPI 1962804955

  Medical

  NPD (past)
• Tenor Health Foundation Sharon, LLC

  • Rural Health Clinic/Center
  • Mercer, PA
  • NPI 1760296859
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1861985657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 GROVE ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352945",
            "telephone_number": "814-373-5266",
            "fax_number": "814-373-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 ALDEN ST",
            "city": "MEADVILLE",
            "state": "PA",
            "postal_code": "163352348",
            "telephone_number": "814-373-5255",
            "fax_number": "814-373-5259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18201 Conneaut Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Meadville",
            "state": "PA",
            "postal_code": "163353757",
            "country_code": "US",
            "telephone_number": "814-333-5061",
            "fax_number": "814-333-5067",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "406 W Oak St",
            "address_purpose": "LOCATION",
            "city": "Titusville",
            "state": "PA",
            "postal_code": "163541499",
            "country_code": "US",
            "telephone_number": "814-827-9770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "ROBERT",
        "middle_name": "LEE",
        "name_suffix": "III",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-07",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marian R Bideaux
• Kelly Kae Bidwell, LCSW
• Cinda R Bilinski, LPC
• Barry Barnett Bittman, M.D.
• Monique Y Bivins, LPC
• Samantha N Black, CRNP
• Christina Blasinski, LSW
• Nikki Blattenberger, PHARMD
• Thea Marie Blystone, PHARMD.
• Angela Bohlender, PTA

• Medical Physician Assistant in Meadville, PA
• Providers in Meadville, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.