Surgical Critical Care Associates

Primary specialty

Trauma Surgery PhysicianTaxonomy code 2086S0127X

Legal business name

SURGICAL CRITICAL CARE ASSOCIATES

Practice address

400 Wabash Ave
Ste. 371 Acc
Akron, OH 44307-2433

Phone

(330) 344-6776

Fax

(330) 996-2850

NPI assigned

Aug 26, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Farid Fuad Muakkassa, M.D.

Title

President

Phone

(330) 344-6776

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259539200000",
    "number": "1255564175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WABASH AVE",
            "address_2": "STE. 371 ACC",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443072433",
            "telephone_number": "330-344-6776",
            "fax_number": "330-996-2850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 WABASH AVE",
            "address_2": "STE. 371 ACC",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443072433",
            "telephone_number": "330-344-6776",
            "fax_number": "330-996-2850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGICAL CRITICAL CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-11-30",
        "status": "A",
        "authorized_official_last_name": "MUAKKASSA",
        "authorized_official_first_name": "FARID",
        "authorized_official_middle_name": "FUAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-344-6776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Trauma Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; 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.