Individual provider Active NPI

Mark Richard Munetz, M.D.

  • Psychiatry Physician
  • Akron, OH
National Provider Identifier
1346350550
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35059287 Issued in OH
Practice address
100 W Cedar St
Suite 300
Akron, OH 44307-2569
Phone
(330) 762-3500
Fax
(330) 252-3024
NPI assigned
Aug 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35059287 OH Primary

Addresses

Primary practice location

100 W Cedar St
Suite 300
Akron, OH 44307-2569

Mailing address

18711 S Woodland Rd
Shaker Heights, OH 44122-2553
Phone (216) 491-9247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35059287OHMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346350550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18711 S WOODLAND RD",
            "city": "SHAKER HEIGHTS",
            "state": "OH",
            "postal_code": "441222553",
            "telephone_number": "216-491-9247",
            "fax_number": "330-252-3024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W CEDAR ST",
            "address_2": "SUITE 300",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443072569",
            "telephone_number": "330-762-3500",
            "fax_number": "330-252-3024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNETZ",
        "first_name": "MARK",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35059287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.