CRYSTAL CLINIC SURGERY CENTER, INC. (NPI# 1104818038) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104818038 |
| Entity Type | Organization |
| Organization Name | CRYSTAL CLINIC SURGERY CENTER, INC. |
| Practice Address |
3975 Embassy Pkwy Suite 202 Akron OH 44333-8320 |
| Practice Telephone | 3306684085 |
| Practice Fax Number | 3306682624 |
| Mailing Telephone | 3306684085 |
| Mailing Fax Number | 3306682624 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | JOANNE STONE (ADMINISTRATOR) |
| Authorized Official Telephone | 3306684085 |
| Authorized Official Credential | RN,BSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0102AS-153 | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | ANTHEM PROVIDER NO. | 157362 | 01 |
| OH | KAISER PROVIDER NO. | 100773 | 01 |
| OH | UNITED HEALTHCARE PROV NO | 68-00067 | 01 |
| Street Address |
3975 EMBASSY PKWY SUITE 202 |
| City | AKRON |
| State | OH |
| Zip Code | 44333-8320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659980431 | Baylee Marie Burns | Physician Assistant | 3975 Embassy Pkwy, Akron, OH 44333-8320 | 2020-07-28 |
| 1396255766 | Chance William Mitan | Physician Assistant | 3975 Embassy Pkwy, Akron, OH 44333-8320 | 2017-10-11 |
| 1881138063 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 3975 Embassy Pkwy, Suite 003, Akron, OH 44333-8320 | 2016-12-07 |
| 1144762600 | Mallory Ann Lorence | Specialist/Technologist | 3975 Embassy Pkwy, Akron, OH 44333-8320 | 2016-11-14 |
| 1235687161 | Marissa Rokicki | Nurse Anesthetist, Certified Registered | 3975 Embassy Pkwy, Suite 202, Akron, OH 44333-8320 | 2016-09-20 |
| 1952769713 | Nicole D'amico | Physician Assistant | 3975 Embassy Pkwy, Akron, OH 44333-8320 | 2016-02-08 |
| 1831572742 | Blake Schmucker | Specialist/Technologist | 3975 Embassy Pkwy, Akron, OH 44333-8320 | 2015-07-09 |
| 1023434552 | Kodi Veale | Physician Assistant | 3975 Embassy Pkwy, Akron, OH 44333-8320 | 2014-03-07 |
| 1982030326 | Michelle M Kilbane | Physician Assistant | 3975 Embassy Pkwy, Akron, OH 44333-8320 | 2013-09-17 |
| 1336495308 | Brandy M Mansfield | Nurse Practitioner | 3975 Embassy Pkwy, Ste 102, Akron, OH 44333-8320 | 2012-07-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083223341 | National Vision Inc | Optometrist | 2665 West Market Street, Fairlawn, OH 44333 | 2020-07-23 |
| 1619468105 | Yellow Creek Primary Care, Inc. | Family Medicine | 3453 Granger Rd, Akron, OH 44333 | 2018-05-21 |
| 1336655984 | Laura Ann Starkey | Nurse Practitioner | 3562 Ridge Park Dr # D1, Fairlawn, OH 44333 | 2017-12-19 |
| 1952814329 | Linda Long | Behavioral Analyst | 3428 W. Market Street, Fairlawn, OH 44333 | 2017-11-08 |
| 1366967325 | Heidi Harper | Behavioral Analyst | 373 Stratford Rd., Fairlawn, OH 44333 | 2017-08-10 |
| 1215459151 | Lisa Marie Kosley | Registered Nurse | 3250 West Market, Suite 2, Fairlawn, OH 44333 | 2017-07-12 |
| 1053764530 | Lindsey Foradis | Nurse Practitioner | 3600 W Market St Ste 200, Fairlawn, OH 44333 | 2016-07-19 |
| 1922484740 | Let's Talk Quality Services, Inc. | Day Training, Developmentally Disabled Services | 462 Gresham Drive, Fairlawn, OH 44333 | 2015-08-04 |
| 1770973240 | Amelia Evans | Licensed Practical Nurse | 3040 West Market St., Interim Healthcare, Akron, OH 44333 | 2015-02-04 |
| 1770908774 | Mary Catherine Boettcher | Speech-Language Pathologist | 150 N. Miller Rd., Suite # 150 A, Akron, OH 44333 | 2014-02-27 |
| Find all providers in zip 44333 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730344367 | Akron Surgical Associates, LLC | Clinic/Center | 4127 Medina Rd Ste 104, Akron, OH 44333-2490 | 2008-07-23 |
| 1649208679 | Akron Surgical Associates, LLC | Clinic/Center | 4127 Medina Rd, Ste 104, Akron, OH 44333-2490 | 2006-06-29 |
| 1790815892 | Akron Woman's Medical Group, Inc | Clinic/Center | 839 E Market St, Akron, OH 44305-2460 | 2007-03-07 |
| 1386736668 | Park West Surgical Center, LLC | Clinic/Center | 1 Park West Blvd, Suite 260, Akron, OH 44320-4218 | 2006-09-28 |
| 1750354502 | Akron Endoscopy Asc LLC | Clinic/Center | 1037 N Main St, Suite B1, Akron, OH 44310-1449 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700492170 | Mercy Health Boardman Surgery | Clinic/Center | 4147 Westford Pl, Canfield, OH 44406-8086 | 2020-09-21 |
| 1851904445 | The Good Samaritan Hospital of Cincinnati, Ohio | Clinic/Center | 538 Oak St Ste 100, Cincinnati, OH 45219-2554 | 2020-08-25 |
| 1952912552 | The Surgery Center of North Central Ohio LLC | Clinic/Center | 1 Emerald Pkwy, Norwalk, OH 44857-2671 | 2020-08-17 |
| 1295344026 | West Chester Surgical Suites, LLC | Clinic/Center | 8742-8744 Union Centre Blvd, West Chester, OH 45069-4876 | 2020-07-28 |
| 1194341768 | Wellington Specialty Surgery Center, LLC | Clinic/Center | 4355 Ferguson Dr Ste 190, Cincinnati, OH 45245-5137 | 2020-06-19 |
| 1902431646 | Central Ohio Endoscopy Center, LLC | Clinic/Center | 430 Altair Pkwy Ste 120, Westerville, OH 43082-7647 | 2020-03-03 |
| 1568094399 | The Surgery Center of Southwest Ohio, LLC | Clinic/Center | 2210 Arbor Blvd Ste 100, Moraine, OH 45439-1506 | 2020-02-10 |
| 1013565175 | David B Schwartz Md, LLC | Clinic/Center | 2123 Auburn Ave Ste 320, Cincinnati, OH 45219-2906 | 2019-08-30 |
| 1801457478 | Dialysis Access Center, LLC | Clinic/Center | 8423 Market St Ste 210, Boardman, OH 44512-6778 | 2019-06-25 |
| 1750948873 | Erie Shores Surgery Center LLC | Clinic/Center | 2800 Hayes Ave Bldg E, Sandusky, OH 44870-7255 | 2019-05-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CRYSTAL CLINIC SURGERY CENTER, INC..
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.