Active NPI
Northeast Ohio Nephrology Associates Inc
- Nephrology Physician
- Akron, OH
National Provider Identifier
1356459481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- NORTHEAST OHIO NEPHROLOGY ASSOCIATES INC
- Practice address
- 411 E Market St
Akron, OH 44304-1542 - Phone
- (330) 252-0600
- Fax
- (330) 250-9350
- NPI assigned
- Aug 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Leisa R. Bridle, CRNP
- Title
- Manager
- Phone
- (330) 252-0600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
411 E Market St
Akron, OH 44304-1542
Mailing address
411 E Market St
Akron, OH 44304-1542
Phone (330) 252-0600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2037772 | Medicaid | OH | |
| CE1475 | Other | OH | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040720001675 | OH | Part B Supplier - Clinic/Group Practice | 8325028418 |
Receives reassigned benefits from 6 practitioners Practice locations: Akron, OH |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0340534 | Northeast Ohio Nephrology | Provider-performed microscopy | Aug 31, 2026 |
National Provider Directory
National Provider DirectoryLocations
411 E Market St
Akron, OH 44304
Phone (330) 252-0600
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156723200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1358812800000",
"number": "1356459481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "411 E MARKET ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443041542",
"telephone_number": "330-252-0600",
"fax_number": "330-250-9350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 E MARKET ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443041542",
"telephone_number": "330-252-0600",
"fax_number": "330-250-9350"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHEAST OHIO NEPHROLOGY ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-28",
"last_updated": "2013-01-22",
"status": "A",
"authorized_official_last_name": "BRIDLE",
"authorized_official_first_name": "LEISA",
"authorized_official_middle_name": "R.",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "330-252-0600",
"authorized_official_credential": "CRNP"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2037772",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CE1475",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
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- North Coast Spine Center, Inc
- North Hill Orthopaedic Surgery, Inc
- Northeast Ohio Cardiovascular Specialists Inc.
- Northeast Ohio Eye Surgeons, Inc.
- Northeast Regional Residential Services LLC
- Northeastern Ohio Medical Specialists Inc
- Northern Ohio Medical Specialists, LLC
- Northern Summit Radiology, LLC
- Northland Hearing Centers Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.