Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael Lane Black, MD

Individual provider Family Medicine Physician · NPI 1497730857

Dr. Michael Lane Black, MD is a Family Practice in Poland, Ohio. Graduated from Ohio State University College of Medicine in 1994, 32 years ago. Practices with Keystone Rehabilitation Systems Inc, a 756-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
32
Trained at
Ohio State University College of Medicine
Licensed in
OH
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6615 Clingan Rd Ste A
Poland, OH 44514-4202
Phone: (330) 707-1425
Fax: (330) 757-2814
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35069367 (OH)

Record details

NPI number1497730857
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 8, 2005
Last updated in NPPESJuly 8, 2007
Mailing address6615 Clingan Road, Suite A, Poland, OH 44514-4202

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduated 1994 (32 years in practice)
Group practice Keystone Rehabilitation Systems Inc — 756 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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