CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC (NPI# 1639402266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639402266 |
Entity Type | Organization |
Organization Name | CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC |
Other Organization Name | CRYSTAL CLINIC ORTHOPAEDIC CENTER - STREETSBORO |
Practice Address |
9318 State Route 14 Streetsboro OH 44241-5224 |
Mailing Address |
Po Box 72434 Cleveland OH 44192-0002 |
Practice Telephone | 3304221901 |
Mailing Telephone | 3306686740 |
Mailing Fax Number | 3306681453 |
Enumeration Date | 2009-09-15 |
Last Update Date | 2013-07-26 |
Authorized Official Name | DR. RONALD SUNTKEN (PRESIDENT) |
Authorized Official Telephone | 3306684255 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 284300000X | Special Hospital | OH | Hospitals |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 2959295 | 05 |
Other Name | Type Code |
---|---|
Crystal Clinic Orthopaedic Center - Streetsboro | Doing Business As Name - Organization |
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 |
1366002321 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 4466 Fulton Dr Nw, Canton, OH 44718-2864 | 2019-06-20 |
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 |
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 |
Street Address |
9318 STATE ROUTE 14 |
City | STREETSBORO |
State | OH |
Zip Code | 44241-5224 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306849401 | Jennifer L Carroll | Obstetrics & Gynecology | 9318 State Route 14, 3rd Floor, Streetsboro, OH 44241-5224 | 2005-05-23 |
1881139897 | Iesha Shanae Bell | Nurse Practitioner | 9318 State Route 14, Streetsboro, OH 44241-5224 | 2016-12-29 |
1134588239 | Unity Health Network, LLC | Durable Medical Equipment & Medical Supplies | 9318 State Route 14, Streetsboro, OH 44241-5224 | 2016-02-17 |
1992179493 | University Primary Care Practices, Inc. | Clinic/Center | 9318 State Route 14, 1st Floor, Streetsboro, OH 44241-5224 | 2015-11-20 |
1053730390 | Felecia Wimberly-gibson | Registered Nurse | 9318 State Route 14, 1st Floor, Streetsboro, OH 44241-5224 | 2014-04-15 |
1740623479 | Megan Diane Litman | Pediatrics | 9318 State Route 14, Streetsboro, OH 44241-5224 | 2013-04-11 |
1548491624 | Northeast Ohio Medical Associates, LLC | Podiatrist | 9318 State Route 14, 3rd Floor, Streetsboro, OH 44241-5224 | 2009-08-06 |
1942431457 | Summa Physicians Inc. | Family Medicine | 9318 State Route 14, Streetsboro, OH 44241-5224 | 2009-07-31 |
1003040429 | Niyati Mahajan | Pediatrics | 9318 State Route 14, Streetsboro, OH 44241-5224 | 2009-05-13 |
1407097330 | Lindsay Christine Desiato | Family Medicine | 9318 State Route 14, 1st Floor, Streetsboro, OH 44241-5224 | 2009-03-24 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245871177 | Jesseca Marie Wallace | Counselor | 8720 Mavis Trl, Streetsboro, OH 44241 | 2019-10-02 |
1225542129 | Staci Lynn Bohannon | Specialist/Technologist | 8585 Oh-14, Streetsboro, OH 44241 | 2017-11-30 |
1356871958 | Tanisha R Stevens | Licensed Practical Nurse | 9440 Vista Ct, Streetsboro, OH 44241 | 2017-06-15 |
1811436827 | Amy Marie Young | Psychologist | 899 Frost Road, Streetsboro, OH 44241 | 2017-02-23 |
1023323482 | Eric Robert Braunscheidel | Chiropractor | 9125 State Rt 14, Streetsboro, OH 44241 | 2010-08-10 |
1386975126 | Cindy Michelle Leonardi | Nurse Anesthetist, Certified Registered | 2084 Deer Crossing Dr., Streetsboro, OH 44241 | 2010-01-19 |
1982842126 | Streesboro City Schools | Speech-Language Pathologist | 9000 Kirby Lane, Streetsboro, OH 44241 | 2009-01-27 |
1114124872 | Thomas Carratola | Dentist | 989 S.r. 43, Suite A, Streetsboro, OH 44241 | 2007-06-27 |
1306964192 | Barry M Liff | Dentist | 1547 Streetsboro Plaza, Streetsboro, OH 44241 | 2007-03-27 |
1275671661 | John M Stephens | Chiropractor | 8961 State Route 14, Streetsboro, OH 44241 | 2007-02-01 |
Find all providers in zip 44241 |
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. |
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 |
City | STREETSBORO |
Zip Code | 44241 |
Please comment or provide details below to improve the information on CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC.
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.