Individual provider Active NPI

Victoria Van Fossen, M.D.

  • Surgery Physician
  • Akron, OH
National Provider Identifier
1295734275
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35064327 Issued in OH
Practice address
95 Arch St Ste 280
Akron, OH 44304-1499
Phone
(330) 564-2438
Fax
(330) 564-2442
NPI assigned
Jul 20, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35064327 OH Primary

Addresses

Primary practice location

95 Arch St Ste 280
Akron, OH 44304-1499

Mailing address

95 Arch St Ste 280
Akron, OH 44304-1499
Phone (330) 564-2438

Other identifiers 3

IdentifierTypeStateIssuer
2039109MedicaidOH
P00211104OtherOHRAILROAD MEDICARE
000000334071OtherOHANTHEM BC/BS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040802001574 OH Practitioner - General Surgery 4486624749 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Northeastern Ohio University College of Medicine, 1991
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)

525 E Market St
Akron, OH 44304-1619

95 Arch St
Suite 150
Akron, OH 44304-1479
Phone (330) 564-2438

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

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy16
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35064327OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summa Physicians LLC CurrentSince Jul 31, 2007 Accepting new patients
Summa Physicians LLC Current Accepting new patients
Summa Physicians LLC CurrentSince Jul 31, 2007 Accepting new patients

Locations

95 Arch St
Ste 150
Akron, OH 44304
Phone (330) 564-0728

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

95 Arch St
Ste 280
Akron, OH 44304
Phone (330) 564-2438

525 E Market St
Ste 400
Akron, OH 44304
Phone (330) 375-7494

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

3780 Medina Rd
Ste 200
Medina, OH 44256
Phone (330) 376-7000

Interoperability endpoints

  • Direct secure messaging: vvanfossen31146@summahealth-direct.org

Organizations & group practices 3

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

Hospital & facility affiliations 3

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1295734275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 ARCH ST STE 280",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041499",
            "telephone_number": "330-564-2438",
            "fax_number": "330-564-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 ARCH ST STE 280",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041499",
            "telephone_number": "330-564-2438",
            "fax_number": "330-564-2442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN FOSSEN",
        "first_name": "VICTORIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-20",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35064327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2039109",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00211104",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "000000334071",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.