NPIMap

Individual provider Active NPI

John A Moawad, MD

  • Vascular Surgery Physician
  • Akron, OH
National Provider Identifier
1205866654
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
35079902 Issued in OH
Practice address
95 Arch St
Suite 215
Akron, OH 44304-1467
Phone
(330) 434-4145
NPI assigned
Jul 3, 2006
Last updated
Apr 20, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 35079902 OH Primary
Vascular Surgery Physician 2086S0129X 3609197 IL

Addresses

Primary practice location

95 Arch St
Suite 215
Akron, OH 44304-1467

Mailing address

95 Arch St
Suite 215
Akron, OH 44304-1467
Phone (330) 434-4145

Other identifiers 1

IdentifierTypeStateIssuer
2279805MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051104000256 OH Practitioner - Vascular Surgery 0143248500 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Chicago, Pritzker School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Summa Physicians LLCGroup PAC ID 2961303532, 692 clinicians

Practice addresses (Care Compare)

155 5TH St NE
Barberton, OH 44203-3332

1790 Graybill Rd
Green, OH 44685-7993

1835 Franks Pkwy
Green, OH 44685-6249
Phone (330) 319-9700

1860 State Rd
Suite D
Cuyahoga Falls, OH 44223-1400
Phone (330) 923-3138

201 5TH St NE
Barberton, OH 44203-3017

3780 Medina Rd
Medina, OH 44256-9311
Phone (330) 375-6590

525 E Market St
Akron, OH 44304-1619

95 Arch St
Akron, OH 44304-1437
Phone (330) 375-3039

95 Arch St
Suite 215
Akron, OH 44304-1467
Phone (330) 434-4145

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3609197ILMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC Current Accepting new patients
Summa Physicians LLC CurrentSince Dec 31, 2007 Accepting new patients
Summa Physicians LLC CurrentSince Dec 31, 2007 Accepting new patients
Summa Health System Past Accepting new patients
Summa Physicians LLC Vascular Surgery Past Accepting new patients

Locations

1077 Gorge Blvd
Akron, OH 44310
Phone (234) 312-5691

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

95 Arch St
Ste 215
Akron, OH 44304
Phone (330) 374-0009

Interoperability endpoints

  • Direct secure messaging: jmoawad27669@summahealth-direct.org

Organizations & group practices 5

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

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303257600000",
    "number": "1205866654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 ARCH ST",
            "address_2": "SUITE 215",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041467",
            "telephone_number": "330-434-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 ARCH ST",
            "address_2": "SUITE 215",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041467",
            "telephone_number": "330-434-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOAWAD",
        "first_name": "JOHN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2011-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35079902",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IL",
            "license": "3609197",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2279805",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.