NPIMap

Organization Active NPI

Akron Digestive Disease Consultants, Inc

  • Gastroenterology Physician
  • Akron, OH
National Provider Identifier
1366433351
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
AKRON DIGESTIVE DISEASE CONSULTANTS, INC
Practice address
570 White Pond Dr
Suite 100
Akron, OH 44320-4205
Phone
(330) 869-0124
Fax
(330) 869-2852
NPI assigned
Oct 31, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Authorized official

Name
Season McCary
Title
Chief Operating Officer
Phone
(330) 869-0124

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X Primary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X

Addresses

Primary practice location

570 White Pond Dr
Suite 100
Akron, OH 44320-4205

Mailing address

570 White Pond Dr
Suite 100
Akron, OH 44320-4205
Phone (330) 869-0124

Other practice location 1

1355 Corporate Dr Unit A
Hudson, OH 44236-4432
Phone (330) 869-0124

Other identifiers 2

IdentifierTypeStateIssuer
CA6109OtherOHRAILROAD MEDICARE
001707840OtherOHMOUNTAIN STATE BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070515000424 OH Part B Supplier - Clinic/Group Practice 8224135991 Receives reassigned benefits from 34 practitioners
Practice locations: Akron, OH; Barberton, OH; Cuyahoga Falls, OH; Fairlawn, OH; Hudson, OH; Massillon, OH; Medina, OH

National Provider Directory

National Provider Directory

Locations

570 White Pond Dr
Ste 300
Akron, OH 44320

3800 Embassy Pkwy
Ste 100
Akron, OH 44333

3045 Smith Rd
Ste 700
Fairlawn, OH 44333

3593 S Arlington Rd
Ste D
Green, OH 44312
Phone (234) 867-6600

2300 Wales Ave NW
Ste 100
Massillon, OH 44646
Phone (330) 832-3188

279 E Reagan Pkwy
Medina, OH 44256

Practitioners & affiliated clinicians

Practitioners 48

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1366433351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "570 WHITE POND DR",
            "address_2": "SUITE 100",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443204205",
            "telephone_number": "330-869-0124",
            "fax_number": "330-869-2852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 WHITE POND DR",
            "address_2": "SUITE 100",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443204205",
            "telephone_number": "330-869-0124",
            "fax_number": "330-869-2852"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1355 Corporate Dr Unit A",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "OH",
            "postal_code": "442364432",
            "country_code": "US",
            "telephone_number": "330-869-0124",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AKRON DIGESTIVE DISEASE CONSULTANTS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-31",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "MCCARY",
        "authorized_official_first_name": "SEASON",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "330-869-0124"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA6109",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOUNTAIN STATE BCBS",
            "identifier": "001707840",
            "state": "OH"
        }
    ],
    "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 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.