NPIMap

Organization Active NPI

Akron VA Medical Center

  • Special Hospital
  • Akron, OH
National Provider Identifier
1154431807
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Special HospitalTaxonomy code 284300000X
License
448 Issued in OH
Legal business name
AKRON VA MEDICAL CENTER
Practice address
55 W Waterloo Rd
Akron, OH 44319-1116
Phone
(330) 724-7715
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Peter John Russo, PA-CNPI 1356431456
Title
Physician Assistant-Certified
Phone
(330) 724-7715

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Special Hospital 284300000X 448 OH Primary

Addresses

Primary practice location

55 W Waterloo Rd
Akron, OH 44319-1116

Mailing address

211 Ridge Rd
Mogadore, OH 44260-2022
Phone (330) 628-5508

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154431807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 RIDGE RD",
            "city": "MOGADORE",
            "state": "OH",
            "postal_code": "442602022",
            "telephone_number": "330-628-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 W WATERLOO RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443191116",
            "telephone_number": "330-724-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKRON VA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PHYSICIAN ASSISTANT-CERTIFIED",
        "authorized_official_telephone_number": "330-724-7715",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": "OH",
            "license": "448",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Aug 22, 2020; 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.