Crystal Clinic Orthopaedic Center, LLC

Primary specialty

Special HospitalTaxonomy code 284300000X

Legal business name

CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC

Practice address

323 High St
Suite C
Wadsworth, OH 44281-1869

Phone

(330) 335-1586

Fax

(330) 336-4236

NPI assigned

Oct 19, 2011

Organization subpart

No

Name

Mr. Daniel J Ferry

Title

President/Ceo

Phone

(330) 670-4152

Organizations this organization is a member of, according to the National Provider Directory.

• Crystal Clinic, Inc.

  • Orthopaedic Surgery Physician
  • Akron, OH
  • NPI 1619906914

  Member Of

  NPD member
• Summa Health System

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Canton, OH
  • NPI 1295036762

  Member Of

  NPD member

Locations

• Crystal Clinic Orthopaedic Center - Wadsworth Doing business as

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 13, 2021.

{
    "created_epoch": "1318982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1225313448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 72434",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441920002",
            "telephone_number": "330-668-4040",
            "fax_number": "330-336-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 HIGH ST",
            "address_2": "SUITE C",
            "city": "WADSWORTH",
            "state": "OH",
            "postal_code": "442811869",
            "telephone_number": "330-335-1586",
            "fax_number": "330-336-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-19",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "FERRY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "330-670-4152",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "284300000X",
            "taxonomy_group": "",
            "desc": "Special Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Crystal Clinic Orthopaedic Center - Wadsworth",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crystal Clinic Orthopaedic Center - Wadsworth",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacquelyn Crescenzo
• Joseph Crewes, DPT
• Charles Crislip
• Kimberly Ann Croghan, RDH
• Anthony Crouse, D.C.
• Leslie Csernyik, RPH
• Julia E Curtis, CRTT, RTT
• Steven R Danals, D.C.
• Chelsie Renee Dane, LPN
• Michelle Lyn Daugherty, STNA/HHA

• All providers in Wadsworth, OH
• Special Hospital in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.