Active NPI
Richard David Fairtile, M.D.
- Anesthesiology Physician
- Akron, OH
National Provider Identifier
1114982428
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 35-064678 F
- Practice address
- 190 N Union St
Ste 104
Akron, OH 44304-1369 - Phone
- (330) 253-9145
- Fax
- (330) 253-6222
- NPI assigned
- Apr 19, 2006
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 35-064678 F | OH | Primary |
Addresses
Primary practice location
190 N Union St
Ste 104
Akron, OH 44304-1369
Mailing address
190 N Union St
Ste 104
Akron, OH 44304-1369
Phone (330) 253-9145
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CN1092 | Other | OH | RAILROAD MEDICARE GROUP # |
| 7091249 | Medicaid | OH | |
| 0920758 | Medicaid | OH | |
| 729890 | Other | OH | BUCKEYE COMMUNITY HLTH PL |
| 340891295-00 | Other | OH | WORKERS COMP GROUP # |
| 000000125730 | Other | OH | ANTHEM BCBS IND NUMBER |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35-064678 F | OH | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1114982428",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "190 N UNION ST",
"address_2": "STE 104",
"city": "AKRON",
"state": "OH",
"postal_code": "443041369",
"telephone_number": "330-253-9145",
"fax_number": "330-253-6222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "190 N UNION ST",
"address_2": "STE 104",
"city": "AKRON",
"state": "OH",
"postal_code": "443041369",
"telephone_number": "330-253-9145",
"fax_number": "330-253-6222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIRTILE",
"first_name": "RICHARD",
"middle_name": "DAVID",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "OH",
"license": "35-064678 F",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP #",
"identifier": "CN1092",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7091249",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0920758",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUCKEYE COMMUNITY HLTH PL",
"identifier": "729890",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKERS COMP GROUP #",
"identifier": "340891295-00",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS IND NUMBER",
"identifier": "000000125730",
"state": "OH"
}
],
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.