Dr. Richard R Black
Internist Nuclear Medicine Specialist
512 E Washington St
Chagrin Falls
, Ohio 44022-4447
Dr. Richard R Black
Internist Nuclear Medicine Specialist
512 E Washington St
Chagrin Falls
, Ohio 44022-4447
(440) 893-9680
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About
Features
Specialties
- Internist
- Nuclear Medicine Specialist
Languages spoken
- English
Location
First Address
- Dr. Richard R Black
- Po Box 89
- Chagrin Falls, OH
- Zip : 44022-0089
- Fax : (440) 893-9680
- Phone : (216) 245-0203
Second Address
- Dr. Richard R Black
- 512 E Washington St
- Chagrin Falls, OH
- Zip : 44022-4447
- Fax : (440) 893-9680
- Phone : (216) 245-0203
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207R00000X | Internist | 34003488 | OH |
| N | 111NI0900X | Internist | 34003488 | OH |
| Y | 207U00000X | Nuclear Medicine Specialist | 34003488 | OH |
National Provider Identifier
| NPI | 1093798720 |
|---|---|
| Provider Name | Dr. Richard R Black |
| First Address | Chagrin Falls, OH 44022-0089 |
| Second Address | Chagrin Falls, OH 44022-4447 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 28/11/2005 |
| Last Update Date | 01/10/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0019707330001 | (05) | PA |
| 0834262 | (05) | OH |
| 3312151 00 | MEDICAID PTAN (01) | MD |
| 8470726 | (05) | WA |
| A15502 | (02) | |
| BL4212094 | MEDICARE PTAN (01) | OH |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.