TIMOTHY CARMALT MATLACK JR. (NPI# 1396959672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396959672 |
| Entity Type | Individual |
| Full Name | TIMOTHY CARMALT MATLACK JR. |
| Credential | MD |
| Practice Address |
525 East Market St Akron OH 44309-2090 |
| Mailing Address |
1746 19th St Cuyahoga Falls OH 44223-1846 |
| Practice Telephone | 3303753000 |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 57.010206 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
525 EAST MARKET ST |
| City | AKRON |
| State | OH |
| Zip Code | 44309-2090 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003376344 | Hannah Smerker | Student in an Organized Health Care Education/Training Program | 525 East Market St, Summa Health/obstetrics and Gynecology, Akron, OH 44304 | 2019-03-22 |
| 1598144727 | Kyle Westhafer | Dentist | 525 East Market St, Akron, OH 44309 | 2015-05-20 |
| 1063852184 | Jennifer M Duncan | Psychologist | 525 East Market St, Summa Health Network, Akron, OH 44309 | 2013-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215566716 | Kylan Robert Hill | Student in an Organized Health Care Education/Training Program | 525 E. Market St., Med II, Department of Obstetrics & Gynecology, Akron, OH 44309 | 2020-04-06 |
| 1922568831 | Kristrun Kristinsdottir | Student in an Organized Health Care Education/Training Program | 525 E. Market Street, Med II, Akron, OH 44309 | 2019-03-25 |
| 1023534138 | Karli Irene Demell | Peer Specialist | 885 East Buchtel Avenue, P.o. Box 1501, Akron, OH 44309 | 2017-08-21 |
| 1720534480 | Jose Vicente Mercado Danguilan | Student in an Organized Health Care Education/Training Program | 525 E. Market St. Akron, Oh 44309, Summa Health System/internal Medicine Residency, Cuyahoga Falls, OH 44309 | 2016-08-31 |
| 1053775874 | Erik Schepens | Psychiatry & Neurology | Summa Health System / Psychiatry Residency, 525 E. Market St., Akron, OH 44309 | 2016-04-07 |
| 1710977830 | Megan Marie Copen | Occupational Therapist | 525 East Market St., Akron, OH 44309 | 2005-10-28 |
| 1366806481 | Adam Domico | Student in an Organized Health Care Education/Training Program | 525 E. Market St., Summa Health System/ Orthopaedic Surgery Residency, Akron, OH 44309 | 2016-04-06 |
| 1073977104 | Jerry Emmett Robinson IIi | Student in an Organized Health Care Education/Training Program | 525 E. Market St., Summa Health System/ Orthopaedic Surgery Residency, Akron, OH 44309 | 2016-04-05 |
| 1972984730 | Timothy Kyger | Dentist | 525 E. Market St., Akron, OH 44309 | 2015-06-17 |
| 1750777231 | Lisa M Ditchey | Family Medicine | 525 East Market Street, Summa Health System/family Medicine Residency, Akron, OH 44309 | 2015-04-10 |
| Find all providers in zip 44309 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528695384 | Chizite Iheonunekwu | Emergency Medicine | 1 Akron General Ave # Aae, Akron, OH 44307-2432 | 2020-03-23 |
| 1861922353 | Nicholas Lafountain | Emergency Medicine | 524 E Market St, Akron, OH 44304 | 2017-06-15 |
| 1831596600 | Mark A Medvedeff | Emergency Medicine | 540 Barwell St, Akron, OH 44303-1949 | 2014-11-22 |
| 1649513581 | Ginny Lee | Emergency Medicine | 684 S Hawkins Ave, Akron, OH 44320-1870 | 2013-03-28 |
| 1538397708 | Christopher M Fridrich | Emergency Medicine | 320 Village Pointe Dr, Apartment J, Akron, OH 44313-7446 | 2009-06-26 |
| 1558447094 | Gordon L. Zellers | Emergency Medicine | 1930 N Cleveland Massillon Rd, Akron, OH 44333-1817 | 2006-10-27 |
| 1467556035 | Michael John Saddleton | Emergency Medicine | 1070 Merriman Rd, Akron, OH 44303-1767 | 2006-09-12 |
| 1639157332 | Martin G Hellman | Emergency Medicine | 515 Woodbury Dr, Akron, OH 44333-2782 | 2006-01-04 |
| 1891778403 | Bradley Joseph Clarke | Emergency Medicine | 4040 Embassy Pkwy Ste 370, Akron, OH 44333-8372 | 2005-11-29 |
| 1336785575 | Jasleen Kaur | Emergency Medicine | 525 E Market St, Akron, OH 44304-1619 | 2019-11-22 |
| Find all providers in AKRON | ||||
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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.