Active NPI
James R Black, MD
- Pediatrics Physician
- Laurium, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301046513
- 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.
-
- Clinic/Center
- Stevens Point, WI
- NPI 1144991340
WI
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Ironwood, MI
- NPI 1609743590
-
- General Acute Care Hospital
- Rhinelander, WI
- NPI 1356391247
-
- Occupational Therapist
- Houghton, MI
- NPI 1205164555
-
- Rural Health Clinic/Center
- Houghton, MI
- NPI 1215092572
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric 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, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150209000657 | MI | Practitioner - Emergency Medicine | 9436474731 | Reassigns benefits to 4 organizations |
| I20250911002592 | WI | Practitioner - Pediatric Medicine | 9436474731 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Ironwood Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Keweenaw | Current | Accepting new patients | |
| Aspirus Ironwood Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Ironwood Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. | Current | 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
- jblack19927@direct.aspirus.org
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301046513 | MI | Primary |
| Emergency Medicine Physician | 207P00000X | 4301046513 | MI |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010C17613 | Other | MI | BLUE CROSS |
| 2646217 | Medicaid | MI |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.