Individual
DANIEL R. BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
100 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5401
(740) 446-5408
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5401
(740) 446-5408
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
34-00-4704
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000006573
ANTHEM BCBS
—
01
—
000000185253
UNISON MEDICAID
OH
01
—
001714051
MOUNTAIN STATE BCBS
—
05
—
0113223000
—
WV
01
—
0749373
MOLINA MEDICAID
OH
05
—
0749373
—
OH
01
—
200013580
RR MEDICARE
—
01
—
310917085122
CARESOURCE MEDICAID
OH
Enumeration date
05/20/2006
Last updated
02/26/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us