DR. DONALD DOUGLAS HACKENBERG (NPI# 1396737383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396737383 |
Entity Type | Individual |
Full Name | DR. DONALD DOUGLAS HACKENBERG |
Credential | MD |
Practice Address |
370 E Market St Akron OH 44304-1526 |
Mailing Address |
24701 Euclid Ave Third Floor - Billing Services Euclid OH 44117-1714 |
Practice Telephone | 3307629033 |
Practice Fax Number | 3309967031 |
Mailing Telephone | 3307629033 |
Mailing Fax Number | 3309967031 |
Enumeration Date | 2005-08-17 |
Last Update Date | 2012-07-27 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208000000X | Pediatrics | 35071363 | OH | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 2070922 | 05 |
Street Address |
370 E MARKET ST |
City | AKRON |
State | OH |
Zip Code | 44304-1526 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770138380 | Riya Amin | Registered Nurse | 370 E Market St, Akron, OH 44304-1526 | 2019-08-09 |
1952872160 | David Lee | Registered Nurse | 370 E Market St, Akron, OH 44304-1526 | 2018-12-16 |
1659873503 | Asian Services In Action Inc | Clinic/Center | 370 E Market St, Akron, OH 44304-1526 | 2018-03-07 |
1841329810 | Children's Medical Group | Pediatrics | 370 E Market St, Akron, OH 44304-1526 | 2007-03-05 |
1538216031 | Sandy S. Chang | Family Medicine | 370 E Market St, Akron, OH 44304-1526 | 2007-01-05 |
1083606990 | Susan M Vargo | Pediatrics | 370 E Market St, Akron, OH 44304-1526 | 2005-08-17 |
1891787701 | John L Weber | Pediatrics | 370 E Market St, Akron, OH 44304-1526 | 2005-08-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821696147 | Caroline Laska | Nurse Practitioner | Summa, 525 East Market, Akron, OH 44304 | 2020-10-09 |
1053940916 | Priyanka Malini Ravindran | Student in an Organized Health Care Education/Training Program | Summa Health/emergency Medicine Residency, 525 East Market St., Akron, OH 44304 | 2020-04-03 |
1467081349 | Savannah Chavez | Student in an Organized Health Care Education/Training Program | Summa Health/emergency Medicine 525 East Market St., Akron, OH 44304 | 2020-04-03 |
1255960357 | Nicholas Gilliam | Student in an Organized Health Care Education/Training Program | Summa Health/psychiatry 525 E. Market Street, Akron, OH 44304 | 2020-04-02 |
1184252462 | Megan Carlson Ptasinski | Student in an Organized Health Care Education/Training Program | Summa Health/obgyn, 525 East Market St., Akron, OH 44304 | 2020-03-31 |
1871121889 | Haley Marie Coleman | Student in an Organized Health Care Education/Training Program | Summa Health/ Family Medicine Residency, 525 East Market St., Akron, OH 44304 | 2020-03-27 |
1154963387 | Andrew Tkacik | Physician Assistant | 151 N Forge St, Akron, OH 44304 | 2019-10-09 |
1457918328 | Brandy Deem | Counselor | 87 N Forge St, Akron, OH 44304 | 2019-05-24 |
1184187445 | Zoe Nastasic Jones | Student in an Organized Health Care Education/Training Program | Summa Health 525 East Market St., Akron, OH 44304 | 2019-04-12 |
1780147751 | Nidhi Khullar | Student in an Organized Health Care Education/Training Program | Summa Health Family Medicine Residency, 525 East Market St., Akron, OH 44304 | 2019-04-08 |
Find all providers in zip 44304 |
Taxonomy Code | 208000000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pediatrics |
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164817219 | Elizabeth Theresa Stephens | Pediatrics | 214 W Bowery St, Akron, OH 44308 | 2015-04-04 |
1568730158 | Laurice Renee Moore | Pediatrics | 1583 Pebblecreek Dr, Akron, OH 44333-4713 | 2011-12-09 |
1871895573 | Crystal Joyce | Pediatrics | 1 Perkins Sqaure, Medical Education, Akron, OH 44308 | 2010-12-01 |
1508000431 | Emily Lee Wiland | Pediatrics | 177 West Exchange Street, 6th Floor Room 61118, Akron, OH 44308 | 2009-04-22 |
1861638538 | Joel R Davidson | Pediatrics | One Perkins Sq., Locust Pediatric Care Group, Akron Children's Hospital, Akron, OH 44308-1062 | 2008-12-30 |
1295858314 | Maryann C. May | Pediatrics | 66 Merriman Rd, Akron, OH 44303-1853 | 2007-04-06 |
1316001548 | Paul D Schuh | Pediatrics | 676 S Broadway St Ste 103, Akron, OH 44311-1059 | 2006-12-21 |
1437174737 | Michael A Delucia | Pediatrics | 1463 Canton Rd Ste A, Akron, OH 44312-4022 | 2006-07-13 |
1477586261 | Melisa A Carmichael | Pediatrics | 701 White Pond Dr Ste 100, Akron, OH 44320-1193 | 2006-07-08 |
1528005014 | Amira E Mustafa | Pediatrics | 1600 E Turkeyfoot Lake Rd, Akron, OH 44312-5365 | 2006-06-01 |
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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.