AKRON VA MEDICAL CENTER (NPI# 1154431807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154431807 |
| Entity Type | Organization |
| Organization Name | AKRON VA MEDICAL CENTER |
| Practice Address |
55 W Waterloo Rd Akron OH 44319-1116 |
| Mailing Address |
211 Ridge Rd Mogadore OH 44260-2022 |
| Practice Telephone | 3307247715 |
| Mailing Telephone | 3306285508 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. PETER JOHN RUSSO (PHYSICIAN ASSISTANT-CERTIFIED) |
| Authorized Official Telephone | 3307247715 |
| Authorized Official Credential | PA-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 284300000X | Special Hospital | 448 | OH | Hospitals |
| Street Address |
55 W WATERLOO RD |
| City | AKRON |
| State | OH |
| Zip Code | 44319-1116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942285218 | Jeanette Porubovich-mizenko | Internal Medicine | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2005-12-09 |
| 1861001331 | Edra Collette Williams | Social Worker | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2020-07-30 |
| 1356993935 | Rudolph Pekarovic IIi | Nurse Practitioner | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2019-07-12 |
| 1093292047 | Holly Elizabeth Henry-nuss | Social Worker | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2018-07-23 |
| 1952897241 | Melissa Ann Rock | Pharmacist | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2018-07-10 |
| 1649624990 | Erica Lucia Keller | Optometrist | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2016-04-22 |
| 1619302114 | Christopher A Waite | Social Worker | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2013-09-04 |
| 1104109826 | Zachary Winkhart | Physical Therapist | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2011-09-20 |
| 1639492234 | Frances Irene Snell | Nurse Practitioner | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2010-03-10 |
| 1528297041 | Mathew Clay Moughiman | Physical Therapist | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2009-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051250 | Charles M Gray | Non-emergency Medical Transport (VAN) | 5863 Renninger Road, New Franklin, OH 44319 | 2020-10-22 |
| 1386267383 | Melany Leek | Dentist | 2383 S Main Street, Akron, OH 44319 | 2020-05-26 |
| 1326544115 | Alpha Dental Akron - Ming Yu Dds LLC | Dentist | 3235 Manchester Rd Ste 2, Akron, OH 44319 | 2018-04-02 |
| 1972031565 | Laura Knight | Optometrist | 2694 S Main St, Akron, OH 44319 | 2017-05-26 |
| 1073937066 | Charles Curtis | Licensed Practical Nurse | 530 W Turkey Elementary School, New Fraklin, OH 44319 | 2014-02-11 |
| 1215200217 | Margaret Jane D'amico | Occupational Therapy Assistant | 607 Jarvis Road, Akron, OH 44319 | 2012-02-22 |
| 1376846360 | Britny Miller | Home Health Aide | 3790 Powell Ave, Akron, OH 44319 | 2010-12-13 |
| 1346552429 | Carina Ford | Occupational Therapist | 670 Jaris Road, Akron, OH 44319 | 2010-07-06 |
| 1831348713 | David Bruce Imbeau | Dentist | 3235 Manchester Rd. Suite #2, Akron, OH 44319 | 2008-09-16 |
| 1528216652 | Rem Ohio, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3070 Littledale Road, Akron, OH 44319 | 2008-09-03 |
| Find all providers in zip 44319 | ||||
| Taxonomy Code | 284300000X |
| Grouping | Hospitals |
| Classification | Special Hospital |
| A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
| Notes: Source: AHA Guide, Registration section, p. A5. |
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| 1578005708 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 1622 E Turkeyfoot Lake Rd, 201, Akron, OH 44312-5277 | 2016-11-04 |
| 1447528930 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 3925 Embassy Pkwy, Suite 300, Akron, OH 44333-1782 | 2011-12-12 |
| 1053558056 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 3975 Embassy Pkwy, Suite 202, Akron, OH 44333-8320 | 2009-01-13 |
| 1992941504 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 1622 E Turkeyfoot Lake Rd, Suite 200, Akron, OH 44312-5277 | 2009-01-02 |
| 1265678882 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 3975 Embassy Pkwy, Akron, OH 44333-8320 | 2009-01-02 |
| 1922244623 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 3925 Embassy Pkwy, Akron, OH 44333-1782 | 2008-12-30 |
| 1417193129 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 20 Olive St, Suite 200, Akron, OH 44310-3165 | 2008-12-30 |
| 1669669917 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 444 N Main St, Akron, OH 44310-3110 | 2007-10-01 |
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| 1619588787 | Promedica Physicians At Home, LLC | Special Hospital | 1801 Richards Rd, Toledo, OH 43607-1037 | 2020-08-12 |
| 1558922476 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 1 Eagle Valley Ct Ste 101, Broadview Hts, OH 44147-2982 | 2019-06-21 |
| 1134602808 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 500 W Hopocan Ave Ste 102, Barberton, OH 44203-2262 | 2018-09-10 |
| 1225528938 | Wellcare Health System, LLC | Special Hospital | 241 N Superior St Ste 102, Toledo, OH 43604-1253 | 2018-05-17 |
| 1013428259 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 437 Portage Trl Ste B, Cuyahoga Falls, OH 44221-3227 | 2017-10-16 |
| 1952832305 | Long Island Jewish Forest Hills Hospital | Special Hospital | 3590 Blackberry Ln, Westlake, OH 44145-7400 | 2017-03-27 |
| 1770025652 | Aultman Radiation Oncology of Alliance Community Hosp | Special Hospital | 885 South Sawburg Ave Suite 108, Alliance, OH 44601-5926 | 2016-11-09 |
| 1245685452 | Rock Creek Medical Center | Special Hospital | 2863 St Rt 45 N, Rock Creek, OH 44084 | 2016-04-26 |
| 1558785329 | Saskia Richter | Special Hospital | 1442 Neil Ave Apt A, Columbus, OH 43201-2651 | 2014-02-13 |
| 1750626735 | Acuity Specialty Hospital | Special Hospital | 4697 Harrison St Fl 2, Bellaire, OH 43906-1338 | 2012-12-03 |
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| 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.