Individual provider Active NPI

James R Black, MD

  • Pediatrics Physician
  • Laurium, MI
National Provider Identifier
1871661868
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301046513 Issued in MI
Practice address
205 Osceola St
Laurium, MI 49913-2134
Phone
(906) 337-6500
Fax
(906) 337-6597
NPI assigned
Nov 30, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 9

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.

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Emergency Medicine
Education
Other, 1978
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

29980 Network PL
Chicago, IL 60673-1299

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150209000657 MI Practitioner - Emergency MedicinePractitioner - Pediatric Medicine 9436474731 Reassigns benefits to 4 organizations
I20250911002592 WI Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 9436474731 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Ironwood Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Aug 7, 2025 Accepting new patients
Aspirus Keweenaw CurrentSince Dec 29, 2014 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Aspirus Ironwood Hospital & Clinics, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Aug 7, 2025 Accepting new patients
Aspirus Keweenaw Past Accepting new patients
Aspirus Keweenaw Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1000 Cedar St
Houghton, MI 49931
Phone (906) 482-8201

N10561 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

N10565 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100

205 Osceola St
Fl 1
Laurium, MI 49913

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

2251 N Shore Dr
Rhinelander, WI 54501
Phone (715) 361-2300

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

Interoperability endpoints

  • Direct secure messaging: jblack19927@direct.aspirus.org

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 4301046513 MI Primary
Emergency Medicine Physician 207P00000X 4301046513 MI

Addresses

NPPES NPI Registry

Primary practice location

205 Osceola St
Laurium, MI 49913-2134

Mailing address

205 Osceola St
Laurium, MI 49913-2134
Phone (906) 337-6500

Other practice location 1

1000 Cedar St
Houghton, MI 49931-1978
Phone (906) 487-1710

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
010C17613OtherMIBLUE CROSS
2646217MedicaidMI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 19, 2025.

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1871661868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 OSCEOLA ST",
            "city": "LAURIUM",
            "state": "MI",
            "postal_code": "499132134",
            "telephone_number": "906-337-6500",
            "fax_number": "906-337-6597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 OSCEOLA ST",
            "city": "LAURIUM",
            "state": "MI",
            "postal_code": "499132134",
            "telephone_number": "906-337-6500",
            "fax_number": "906-337-6597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Cedar St",
            "address_purpose": "LOCATION",
            "city": "Houghton",
            "state": "MI",
            "postal_code": "499311978",
            "country_code": "US",
            "telephone_number": "906-487-1710",
            "fax_number": "906-487-9421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLACK",
        "first_name": "JAMES",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-30",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301046513",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301046513",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "010C17613",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2646217",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurium, MI

Sources for this page

Verify at the official NPI Registry.