Akron Infectious Disease, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

35-08-0197B Issued in OH

Legal business name

AKRON INFECTIOUS DISEASE, INC

Practice address

75 Arch St
Suite 105
Akron, OH 44304-1429

Phone

(330) 375-3894

Fax

(330) 375-6680

NPI assigned

Oct 4, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Hector F. Bonilla, MD

Title

MD

Phone

(330) 375-3894

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Akron Infectious Disease2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Akron Infectious Disease

  • Infectious Disease Physician
  • Akron, OH
  • NPI 1932132610
  NPD tax ID

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164518825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 ARCH ST",
            "address_2": "SUITE 105",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041429",
            "telephone_number": "330-375-3894",
            "fax_number": "330-375-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 ARCH ST",
            "address_2": "SUITE 105",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041429",
            "telephone_number": "330-375-3894",
            "fax_number": "330-375-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKRON INFECTIOUS DISEASE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BONILLA",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "330-375-3894",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35-08-0197B",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2278833",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Akron Internal Medicine Associates, Inc.
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• Akron Nephrology Assoc Inc
• Akron Oh Caregiving LLC

• Specialist in Akron, OH
• Providers in Akron, OH by specialty
• Specialist in Ohio

• 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.