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

Individual provider Physician Assistant · NPI 1083124051

Stephanie Black, PA-C is a Physician Assistant in Canton, Ohio. Qualified in 2017, 9 years ago. Practices with Cleveland Clinic, a 6,935-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Ohio.

Years since qualifying
9
Licensed in
OH
In the registry since
2017
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1455 Harrison Ave NW Ste 105
Canton, OH 44708-2609
Phone: (330) 453-9993
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 50.005194RX (OH)

Record details

NPI number1083124051
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 4, 2017
Last updated in NPPESOctober 4, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Cleveland Clinic — 6935 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Canton