NPIMap

Organization Active NPI

Crystal Clinic Orthopaedic Center, LLC

  • Special Hospital
  • Cuyahoga Falls, OH
National Provider Identifier
1013428259
Registry record updated Oct 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
Legal business name
CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC
Practice address
437 Portage TRL Ste B
Cuyahoga Falls, OH 44221-3227
Phone
(330) 929-9192
Fax
(330) 929-9388
NPI assigned
Oct 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ronald Suntken
Title
President/Ceo
Phone
(330) 670-4152

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X Primary

Addresses

Primary practice location

437 Portage TRL Ste B
Cuyahoga Falls, OH 44221-3227

Mailing address

3925 Embassy Pkwy Ste 250
Akron, OH 44333-1799

National Provider Directory

National Provider Directory
Tax ID family
Crystal Clinic Orthopaedic Center LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

437 Portage Trl
Ste B
Cuyahoga Falls, OH 44221
Phone (330) 929-9192

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/8a12d269-bbac-4647-8604-a4aa813b261a/

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508112000000",
    "number": "1013428259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 EMBASSY PKWY STE 250",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443331799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 PORTAGE TRL STE B",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442213227",
            "telephone_number": "330-929-9192",
            "fax_number": "330-929-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-16",
        "last_updated": "2017-10-16",
        "status": "A",
        "authorized_official_last_name": "SUNTKEN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "330-670-4152"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cuyahoga Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.