Individual
DR. GLENN RAYMOND BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
103 5TH ST SE, STE S, BARBERTON, OH 44203-4256
(330) 753-5863
(330) 753-9838
Mailing address
586 MARINA DR, AKRON, OH 44319-3424
(330) 645-6809
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35.036808
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000191152
ANTHEM BC/BS
OH
01
—
0400075
UNITED HEALTHCARE
OH
05
—
0429549
—
OH
01
—
107535
KAISER
OH
01
—
1263551
UNITED MINE WORKERS
OH
01
—
1786246
CIGNA
OH
01
—
341397094026
CARESOURCE
OH
01
—
4205812
AETNA
OH
01
—
59634
QUALCHOICE
OH
01
—
729783
BUCKEYE COMM HEALTH PLAN
OH
01
—
791063783
RAILROAD MEDICARE
OH
Enumeration date
12/01/2005
Last updated
04/02/2024
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