Dalton & Van Fossen Surgeons Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

35062167D Issued in OH

Legal business name

DALTON & VAN FOSSEN SURGEONS INC

Practice address

95 Arch St
Suite 280
Akron, OH 44304-1437

Phone

(330) 564-2438

Fax

(330) 564-2443

NPI assigned

Aug 24, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Debbie Sue Crain

Title

Office Manager

Phone

(330) 564-2438

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1245347285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 ARCH ST",
            "address_2": "SUITE 280",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041437",
            "telephone_number": "330-564-2438",
            "fax_number": "330-564-2443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 ARCH ST",
            "address_2": "SUITE 280",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041437",
            "telephone_number": "330-564-2438",
            "fax_number": "330-564-2443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALTON & VAN FOSSEN SURGEONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CRAIN",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_middle_name": "SUE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-564-2438",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35062167D",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35064327",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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.