CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC


Address: 4466 Fulton Dr Nw, Canton, OH 44718-2864
Phone: 3306684065

CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC (NPI# 1366002321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366002321
Entity Type Organization
Organization Name CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC
Practice Address 4466 Fulton Dr Nw
Canton
OH 44718-2864
Mailing Address Po Box 72434
Cleveland
OH 44192-0002
Practice Telephone 3306684065
Practice Fax Number 3306684082
Mailing Telephone 3306684040
Mailing Fax Number 3306640694
Enumeration Date 2019-06-20
Last Update Date 2019-06-20
Authorized Official Name RONALD R SUNTKEN (PRESIDENT/CEO)
Authorized Official Telephone 3306704152
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 284300000X Special Hospital Hospitals

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
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
1013428259 Crystal Clinic Orthopaedic Center, LLC Special Hospital 437 Portage Trl Ste B, Cuyahoga Falls, OH 44221-3227 2017-10-16
1467979971 Crystal Clinic Orthopaedic Center, LLC Pharmacy 444 N Main St Fl 1, Akron, OH 44310-3110 2017-08-25
1881138063 Crystal Clinic Orthopaedic Center, LLC Special Hospital 3975 Embassy Pkwy, Suite 003, Akron, OH 44333-8320 2016-12-07
1801338033 Crystal Clinic Orthopaedic Center, LLC Special Hospital 4975 Foote Rd, Suite 200, Medina, OH 44256-8748 2016-11-04
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
1225313448 Crystal Clinic Orthopaedic Center, LLC Special Hospital 323 High St, Suite C, Wadsworth, OH 44281-1869 2011-10-19
1639402266 Crystal Clinic Orthopaedic Center, LLC Special Hospital 9318 State Route 14, Streetsboro, OH 44241-5224 2009-09-15

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC 3925 Embassy Pkwy Ste 250, Akron, OH 44333-1799

Office Location

Street Address 4466 FULTON DR NW
City CANTON
State OH
Zip Code 44718-2864

Providers in the same location

NPI Name Taxonomy Address Enumeration
1780623645 Firas M.a. Hamdan Internal Medicine 4466 Fulton Dr Nw, Canton, OH 44718-2864 2006-06-06
1609427004 Mary Peterson Physician Assistant 4466 Fulton Dr Nw, Canton, OH 44718-2864 2019-09-26
1568873446 Jordan Etscheidt Orthopaedic Surgery 4466 Fulton Dr Nw, Canton, OH 44718-2864 2014-05-14
1831441831 Stacey Lynn Keller Physician Assistant 4466 Fulton Dr Nw, Canton, OH 44718-2864 2012-10-15
1962792515 Shayda Mirhaidari Plastic Surgery 4466 Fulton Dr Nw, Canton, OH 44718-2864 2011-04-17
1922288778 Rebecca L. Wolfe Physician Assistant 4466 Fulton Dr Nw, Canton, OH 44718-2864 2007-11-09
1114026226 Cardiology One, Inc Internal Medicine 4466 Fulton Dr Nw, Canton, OH 44718-2864 2006-09-22
1578585956 Tiffany M. Fisher Physician Assistant 4466 Fulton Dr Nw, Canton, OH 44718-2864 2006-07-24
1003850710 Todd L Johnson Internal Medicine 4466 Fulton Dr Nw, Canton, OH 44718-2864 2006-06-15
1851334973 Brian E Simmons Internal Medicine 4466 Fulton Dr Nw, Canton, OH 44718-2864 2006-06-14
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1639658057 Christine Lynn Mccrone Psychologist 4450 Belden Village St Nw Ste 701, Canton, OH 44718 2018-08-07
1295252500 Dora C Holliday Student in an Organized Health Care Education/Training Program 4641 Fulton Dr N.w., Canton, OH 44718 2017-08-28
1770035487 A B A Let's Play, Inc. Community/Behavioral Health 6304 Shipslanding Ave Nw, Canton, OH 44718 2016-10-28
1457710139 Aria Lg Counseling and Wellness Center, LLC Clinic/Center 5262 Fulton Road Nw, Canton, OH 44718 2016-02-23
1457722365 Melinda R Bond Nurse Practitioner 4105 Holiday Street Nw, Canton, OH 44718 2015-10-19
1164804860 Ashley Marie Whetsell Dentist 4550 Belden Village Street Nw, Canton, OH 44718 2015-06-18
1346643749 Emil D. Poporad, Dds Dentist 4124 Fulton Rd. N.w., Suite 102, Canton, OH 44718 2014-09-30
1699198390 Lauri Sanders Social Worker 5860 Fulton Dr Nw, Canton, OH 44718 2014-01-31
1376893768 Courteney R Briceland Social Worker 4641 Fulton Rd. Nw, Canton, OH 44718 2012-09-13
1982953220 Lyudmyla Z Rockaway Marriage & Family Therapist 4895 Dressler Road Nw, Ste A, Canton, OH 44718 2012-08-31
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Taxonomy Information

Taxonomy Code 284300000X
Grouping Hospitals
Classification Special Hospital

Taxonomy Definition

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.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
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
Find all providers with the same taxonomy

Competitor

Search similar providers

City CANTON
Zip Code 44718

Improve Information

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Dataset Information

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.

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