Individual
JOHN A. BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1622 E TURKEYFOOT LAKE RD, #301, AKRON, OH 44312-5277
(330) 344-8565
(330) 896-7085
Mailing address
1622 E TURKEYFOOT LAKE RD, #301, AKRON, OH 44312-5277
(330) 344-8565
(330) 896-7085
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
35057918
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0743440
—
OH
01
—
1841239274
PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH
01
—
2551671
PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH
01
—
9338635
PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH
Enumeration date
05/05/2006
Last updated
12/04/2015
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