GLENN R BLACK MD INC NPI 1326253238

NPI Information

NPI: 1326253238
Provider Name: GLENN R BLACK MD INC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
103 5TH ST SE STE S
BARBERTON, OH
ZIP 44203
Phone: (330) 753-5863
Get Directions

GLENN R BLACK MD INC is a cardiovascular disease internal medicine in Barberton, OH. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. GLENN R BLACK MD INC NPI is 1326253238. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

103 5TH ST SE STE S
BARBERTON, OH
ZIP 44203-256
Phone: (330) 753-5863

The provider's authorized official is Glenn Raymond Black .
The authorized official title is Medical Doctor and has the following contact phone number (330) 753-5863.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 3/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease	35.036808	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	59634	OTHER	OHIO	QUALCHOICE
2	0429549	MEDICAID	OHIO
3	274462003005	OTHER	OHIO	MEDICAL MUTUAL
4	107535	OTHER	OHIO	KAISER
5	1786246	OTHER	OHIO	CIGNA
6	274462003-00	OTHER	OHIO	BWC
7	1263551	OTHER	OHIO	UMW
8	295174	OTHER	OHIO	FEDERAL BLACK LUNG
9	729783	OTHER	OHIO	BCHP
10	791063783	OTHER	OHIO	RAILROAD MEDICARE
11	0400075	OTHER	OHIO	UNITED HEALTHCARE
12	354693	OTHER	OHIO	ADVANTRA
13	4205812	OTHER	OHIO	AETNA
14	Q014575	OTHER	OHIO	HOMETOWN
15	000000191152	OTHER	OHIO	ANTHEM BC BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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