CRYSTAL PLASTIC SURGEONS, INC. (NPI# 1962568675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962568675 |
| Entity Type | Organization |
| Organization Name | CRYSTAL PLASTIC SURGEONS, INC. |
| Practice Address |
3925 Embassy Pkwy Akron OH 44333-1763 |
| Practice Telephone | 3306684065 |
| Practice Fax Number | 3306704160 |
| Mailing Telephone | 3306684065 |
| Mailing Fax Number | 3306704160 |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2008-04-20 |
| Authorized Official Name | GLENNA KREITZBURG (OFFICE MANAGER) |
| Authorized Official Telephone | 3306684065 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208200000X | Plastic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | RAILROAD MEDICARE | CJ8526 | 01 |
| OH | 0150554 | 05 |
| Street Address |
3925 EMBASSY PKWY |
| City | AKRON |
| State | OH |
| Zip Code | 44333-1763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477579845 | Suzanne M Painter | Occupational Therapist | 3925 Embassy Pkwy, Akron, OH 44333-1782 | 2006-07-15 |
| 1447528930 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 3925 Embassy Pkwy, Suite 300, Akron, OH 44333-1782 | 2011-12-12 |
| 1164715827 | Nathan A Monaco | Orthopaedic Surgery | 3925 Embassy Pkwy, Akron, OH 44333-1782 | 2011-05-27 |
| 1922244623 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 3925 Embassy Pkwy, Akron, OH 44333-1782 | 2008-12-30 |
| 1285800680 | Mollie O Manley | Orthopaedic Surgery | 3925 Embassy Pkwy, Akron, OH 44333-1782 | 2008-05-06 |
| 1235315409 | Gioconda Koludrovich | Occupational Therapist | 3925 Embassy Pkwy, Akron, OH 44333-1782 | 2008-01-17 |
| 1275722688 | Rafal Stachowicz | Orthopaedic Surgery | 3925 Embassy Pkwy, Akron, OH 44333-1782 | 2007-10-22 |
| 1265632707 | Lewis Arnold Diulus IIi | Plastic Surgery | 3925 Embassy Pkwy, Suite 300, Akron, OH 44333-1782 | 2007-07-23 |
| 1073645800 | Hand Rehabilitation Associates, Inc. | Occupational Therapy Assistant | 3925 Embassy Pkwy, Ste 225, Akron, OH 44333-1763 | 2007-03-09 |
| 1306997705 | Matthew R Lott | Occupational Therapist | 3925 Embassy Pkwy, Akron, OH 44333-1763 | 2007-01-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083223341 | National Vision Inc | Optometrist | 2665 West Market Street, Fairlawn, OH 44333 | 2020-07-23 |
| 1619468105 | Yellow Creek Primary Care, Inc. | Family Medicine | 3453 Granger Rd, Akron, OH 44333 | 2018-05-21 |
| 1336655984 | Laura Ann Starkey | Nurse Practitioner | 3562 Ridge Park Dr # D1, Fairlawn, OH 44333 | 2017-12-19 |
| 1952814329 | Linda Long | Behavioral Analyst | 3428 W. Market Street, Fairlawn, OH 44333 | 2017-11-08 |
| 1366967325 | Heidi Harper | Behavioral Analyst | 373 Stratford Rd., Fairlawn, OH 44333 | 2017-08-10 |
| 1215459151 | Lisa Marie Kosley | Registered Nurse | 3250 West Market, Suite 2, Fairlawn, OH 44333 | 2017-07-12 |
| 1053764530 | Lindsey Foradis | Nurse Practitioner | 3600 W Market St Ste 200, Fairlawn, OH 44333 | 2016-07-19 |
| 1922484740 | Let's Talk Quality Services, Inc. | Day Training, Developmentally Disabled Services | 462 Gresham Drive, Fairlawn, OH 44333 | 2015-08-04 |
| 1770973240 | Amelia Evans | Licensed Practical Nurse | 3040 West Market St., Interim Healthcare, Akron, OH 44333 | 2015-02-04 |
| 1770908774 | Mary Catherine Boettcher | Speech-Language Pathologist | 150 N. Miller Rd., Suite # 150 A, Akron, OH 44333 | 2014-02-27 |
| Find all providers in zip 44333 | ||||
| Taxonomy Code | 208200000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Plastic Surgery |
| A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Plastic Surgery, 2007. http://www.abplsurg.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Plastic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811941719 | James M Lewis | Plastic Surgery | 75 Arch St. Ste. 102, Akron, OH 44304 | 2006-05-22 |
| 1689916322 | Ashish Francis | Plastic Surgery | 1 Perkins Sq, Akron, OH 44308-1063 | 2013-03-20 |
| 1467625921 | Legacy Plastic Surgeons | Plastic Surgery | 300 Locust St, Ste 590, Akron, OH 44302-1821 | 2008-04-05 |
| 1265632707 | Lewis Arnold Diulus IIi | Plastic Surgery | 3925 Embassy Pkwy, Suite 300, Akron, OH 44333-1782 | 2007-07-23 |
| 1831305382 | Niyant V. Patel | Plastic Surgery | 1 Perkins Sq, Akron, OH 44308-1063 | 2007-05-14 |
| 1265519243 | Ananth S Murthy | Plastic Surgery | 1 Perkins Sq, Akron, OH 44308-1063 | 2006-11-01 |
| 1619906914 | Crystal Clinic, Inc. | Plastic Surgery | 3975 Embassy Pkwy, Akron, OH 44333-8320 | 2006-07-01 |
| 1003877168 | Michael George Parker | Plastic Surgery | 1 Park West Blvd, Suite 350, Akron, OH 44320-4218 | 2006-03-29 |
| 1336100320 | Akron Plastic Surgeons, Inc. | Plastic Surgery | 1 Park West Blvd, Suite 350, Akron, OH 44320-4218 | 2006-03-29 |
| 1184685232 | James A Lehman Jr. | Plastic Surgery | 300 Locust St, Suite 590, Akron, OH 44302-1821 | 2006-03-29 |
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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.