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GLENN R BLACK MD INC
NPI 1326253238
Internal Medicine - Cardiovascular Disease in Barberton, OH

Active since May 14, 2007CLIA 36D1100270 · Waiver
103 5TH ST SE STE S, BARBERTON, OH 44203(330) 753-5863 Get Directions Write a Review

NPPES record last updated: March 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Glenn R Black Md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GLENN R BLACK MD INC (NPI 1326253238) is a healthcare organization registered as a cardiovascular disease in Barberton, Ohio and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through March 20, 2028 and lists Glenn Raymond Black, Medical Doctor, as its authorized official.

NPPES Registry Identity

NPI1326253238
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameGLENN R BLACK MD INC
Location Address103 5TH ST SE STE SBarberton, OH 44203-4256
Mailing Address586 Marina DrAkron, OH 44319-3424 · (330) 645-6809
Phone(330) 753-5863
Organization SubpartNo
Authorized OfficialGlenn Raymond BlackMedical Doctor · (330) 753-5863
Enumeration DateMay 14, 2007
Last NPPES UpdateMarch 12, 2024
NPPES CertifiedMarch 12, 2024
✔ NPI 1326253238 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in OH · 35.036808
Definition
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.
103 5TH ST SE STE S, Barberton, OH 44203
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Other Identifiers 15

Other59634OH · Qualchoice
Medicaid0429549OH
Other274462003005OH · Medical Mutual
Other107535OH · Kaiser
Other1786246OH · Cigna
Other274462003-00OH · Bwc
Other1263551OH · Umw
Other295174OH · Federal Black Lung
Other729783OH · Bchp
Other791063783OH · Railroad Medicare
Other0400075OH · United Healthcare
Other354693OH · Advantra
Other4205812OH · Aetna
OtherQ014575OH · Hometown
Other000000191152OH · Anthem Bc Bs

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 36D1100270

Glenn R Black MD · Barberton, OH
Active · expires Mar 20, 2028
CLIA Number36D1100270
Laboratory TypePhysician Office
Certificate Effective DateMarch 21, 2026
Certificate Expiration DateMarch 20, 2028
Laboratory DirectorGlenn R. Black
Laboratory Phone(330) 753-5863
Laboratory LocationGlenn R Black MD103 5th Street SE Suite S, Barberton, OH 44203
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VERTICAL SPINE & SPORTS MEDICINE,INC
Specialist
103 5TH ST SE STE S
BARBERTON, OH 44203
Summit County (330) 753-3232

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glenn R Black MD Inc's NPI number?

The NPI number for Glenn R Black MD Inc is 1326253238. It was assigned to this organization in the NPPES registry on May 14, 2007.

Where is Glenn R Black MD Inc located?

Glenn R Black MD Inc is located at 103 5th St SE Ste S, Barberton, OH 44203. The listed phone number is (330) 753-5863.

What is Glenn R Black MD Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Glenn R Black MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 36D1100270) is associated with this NPI, valid through March 20, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Glenn R Black MD Inc accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Glenn R Black MD Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Glenn R Black MD Inc was last updated on March 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.