Crystal Clinic Orthopaedic Center, LLC

Primary specialty

Special HospitalTaxonomy code 284300000X

Legal business name

CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC

Doing business as

Crystal Clinic Orthopaedic Center - Wadsworth

Practice address

323 High St
Suite C
Wadsworth, OH 44281-1869

Phone

(330) 335-1586

Fax

(330) 336-4236

NPI assigned

Oct 19, 2011

Last updated

Oct 13, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Daniel J Ferry

Title

President/Ceo

Phone

(330) 670-4152

Specialties & licenses 1

Addresses

Other names 1

• Crystal Clinic Orthopaedic Center - Wadsworth Doing business as

Member of 2

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

• Crystal Clinic Inc

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Akron, OH
  • NPI 1063966042

  Member Of

  NPD member
• Summa Health System

  dba Summa Health System Ignatia Hall South

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

  Member Of

  NPD member

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

{
    "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

• Special Hospital in Wadsworth, OH
• Providers in Wadsworth, OH by specialty
• 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.