Individual provider Active NPI

Maureen E. Ahmann, DO

  • Pediatrics Physician
  • Akron, OH
National Provider Identifier
1154499960
Registry record updated Apr 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
34.008042 Issued in OH
Practice address
676 S Broadway St
Akron, OH 44311-1059
Phone
(330) 252-1135
Fax
(330) 252-1147
NPI assigned
Dec 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 34.008042 OH Primary

Addresses

Primary practice location

676 S Broadway St
Akron, OH 44311-1059

Mailing address

676 S Broadway St
Akron, OH 44311-1059
Phone (330) 252-1135

Other identifiers 1

IdentifierTypeStateIssuer
2437401MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040707001573 OH Practitioner - Pediatric Medicine 8325026362 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Mid West Medical College, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7235 Whipple Ave NW
North Canton, OH 44720-7137
Phone (330) 493-9904

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.008042OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stark County Auditor CurrentSince May 1, 2014 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Apr 25, 2018 Accepting new patients

Locations

676 S Broadway St
Akron, OH 44311
Phone (330) 344-4000

1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

7235 Whipple Ave NW
North Canton, OH 44720
Phone (330) 418-9313

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Organizations & group practices 2

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": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207872000000",
    "number": "1154499960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 S BROADWAY ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443111059",
            "telephone_number": "330-252-1135",
            "fax_number": "330-252-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 S BROADWAY ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443111059",
            "telephone_number": "330-252-1135",
            "fax_number": "330-252-1147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AHMANN",
        "first_name": "MAUREEN",
        "middle_name": "E.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "34.008042",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2437401",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.