Individual provider Active NPI

Thomas Hlivko

  • Anatomic Pathology & Clinical Pathology Physician
  • Akron, OH
National Provider Identifier
1063474500
Registry record updated Oct 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
35-044189 Issued in OH
Practice address
2215 E Waterloo Rd
Ste 313
Akron, OH 44312-3856
Phone
(330) 208-2720
Fax
(330) 208-2721
NPI assigned
Apr 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 35-044189 OH Primary

Addresses

Primary practice location

2215 E Waterloo Rd
Ste 313
Akron, OH 44312-3856

Mailing address

2215 E Waterloo Rd
Ste 313
Akron, OH 44312-3856
Phone (330) 208-2720

Other identifiers 3

IdentifierTypeStateIssuer
000000130951OtherANTHEM BLUE CROSS BLUE SHIELD
0198754MedicaidOH
000000191217OtherUNISON HEALTH NETWORK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35-044189OHMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Akron Radiology Inc Current Accepting new patients

Locations

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

1900 23rd St
Cuyahoga Fls, OH 44223
Phone (330) 929-2685

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20168/brand/2/csg/1/fhir/r4

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477612800000",
    "number": "1063474500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 E WATERLOO RD",
            "address_2": "STE 313",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443123856",
            "telephone_number": "330-208-2720",
            "fax_number": "330-208-2721"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 E WATERLOO RD",
            "address_2": "STE 313",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443123856",
            "telephone_number": "330-208-2720",
            "fax_number": "330-208-2721"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HLIVKO",
        "first_name": "THOMAS",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2016-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OH",
            "license": "35-044189",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS BLUE SHIELD",
            "identifier": "000000130951",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0198754",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON HEALTH NETWORK",
            "identifier": "000000191217",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2016; 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.