Main Street Preparatory Academy

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

MAIN STREET PREPARATORY ACADEMY

Practice address

388 S Main St
Akron, OH 44311-1064

Phone

(234) 738-1925

Fax

(330) 812-3059

NPI assigned

Dec 15, 2015

Last updated

Dec 15, 2015By 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

Nikita Tidwell

Title

Director

Phone

(234) 738-1925

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1450137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450137600000",
    "number": "1316302524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 S MAIN ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443111064",
            "telephone_number": "234-738-1925",
            "fax_number": "330-812-3059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "388 S MAIN ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443111064",
            "telephone_number": "234-738-1925",
            "fax_number": "330-812-3059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET PREPARATORY ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-15",
        "last_updated": "2015-12-15",
        "status": "A",
        "authorized_official_last_name": "TIDWELL",
        "authorized_official_first_name": "NIKITA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "234-738-1925"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Michael Mahon, D.O.
• Gena Renee Maier
• Jacob C Maier, MD
• Josh Maierhofer, PHARMD
• Michelle L Maile, LICDC-CS
• Myrlande Maingrette, MD
• Cheryl Lynn Mains, RN FIRST ASSISTANT
• Sherri Maione, LISW
• Major Transportation
• Crystal A Major, LPN

• Local Education Agency (LEA) in Akron, OH
• Providers in Akron, OH by specialty
• Local Education Agency (LEA) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2015; 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.