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

Shaun Black, DO

Individual provider Emergency Medicine Physician · NPI 1689834707

Shaun Black, DO is an Emergency Medicine in Erie, Pennsylvania. Graduated from Philadelphia College of Osteopathic Medicine in 2006, 20 years ago. Practices with Great Lakes Physician Practice PC, a 143-clinician group and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
20
Trained at
Philadelphia College of Osteopathic Medicine
Licensed in
PA
In the registry since
2008
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

201 State St
Erie, PA 16550-0002
Phone: (814) 877-6139
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence OS015075 (PA)

Record details

NPI number1689834707
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 12, 2008
Last updated in NPPESJanuary 31, 2023
Certification dateJanuary 31, 2023
Mailing address201 State St, Erie, PA 16550-0002

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolPHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 2006 (20 years in practice)
Group practice Great Lakes Physician Practice Pc — 143 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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