{"npi":"1093798720","type":"NPI-1","status":"active","name":{"display":"Dr. Richard Black DO","other":[],"first":"RICHARD","last":"BLACK","middle":"R","credential":"DO"},"specialty":{"primary_taxonomy":"207U00000X","primary_taxonomy_description":"Nuclear Medicine Physician","slug":"nuclear-medicine-physician","schema_org_specialty":null,"all":[{"code":"207R00000X","description":"Internal Medicine","primary":false,"state":"OH","license":"34003488"},{"code":"207U00000X","description":"Nuclear Medicine Physician","primary":true,"state":"OH","license":"34003488"}]},"addresses":[{"purpose":"LOCATION","street_1":"28062 BAXTER RD","city":"MURRIETA","state":"CA","postal_code":"925631401","country_code":"US","phone":"9512904000"},{"purpose":"MAILING","street_1":"PO BOX 89","city":"CHAGRIN FALLS","state":"OH","postal_code":"440220089","country_code":"US","phone":"2162450203","fax":"4408939680"}],"license":{"state":"OH","number":"34003488"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"0019707330001","state":"PA","issuer":null},{"type_code":"01","label":"Other","value":"3312151 00","state":"MD","issuer":"MEDICAID PTAN"},{"type_code":"05","label":"Medicaid","value":"8470726","state":"WA","issuer":null},{"type_code":"01","label":"Other","value":"BL4212094","state":"OH","issuer":"MEDICARE PTAN"},{"type_code":"05","label":"Medicaid","value":"0834262","state":"OH","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20040106000360","type_code":"14-36","type_desc":"PRACTITIONER - NUCLEAR MEDICINE","state":"OH","pac_id":"4486553773"},{"enrlmt_id":"I20091031000017","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"FL","pac_id":"4486553773"},{"enrlmt_id":"I20101115001110","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"MD","pac_id":"4486553773"},{"enrlmt_id":"I20111010000231","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"GA","pac_id":"4486553773"},{"enrlmt_id":"I20231024002196","type_code":"14-30","type_desc":"PRACTITIONER - DIAGNOSTIC RADIOLOGY","state":"DC","pac_id":"4486553773"}]},"enumeration_date":"2005-11-28","last_updated":"2023-01-27","_meta":{"source":"NPPES","snapshot_date":"2023-01-27","doc_url":"https://findmynpi.com/api"}}