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

Michael R Black, MD

Individual provider Family Medicine Physician · NPI 1588892194

Michael R Black, MD is a Family Practice in Proctorville, Ohio. Graduated from Jc Edwards School of Medicine, Marshall University in 2009, 17 years ago. Practices with Holzer Clinic LLC, a 264-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
17
Trained at
Jc Edwards School of Medicine, Marshall University
Licensed in
OH
In the registry since
2009
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

98 State St
Proctorville, OH 45669-8163
Phone: (740) 886-9403
Fax: (740) 446-5153
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 35098736 (OH)

Record details

NPI number1588892194
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2009
Last updated in NPPESNovember 25, 2020
Certification dateNovember 25, 2020
Mailing address90 Jackson Pike, Gallipolis, OH 45631-1560

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolJC EDWARDS SCHOOL OF MEDICINE, MARSHALL UNIVERSITY
Graduated 2009 (17 years in practice)
Group practice Holzer Clinic Llc — 264 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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