NPIMap

Organization Active NPI

Akron Pediatric Neurology, Inc

  • Specialist
  • Akron, OH
National Provider Identifier
1376763110
Registry record updated Mar 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
AKRON PEDIATRIC NEUROLOGY, INC
Practice address
300 Locust St
Suite 150
Akron, OH 44302-1821
Phone
(330) 253-2113
Fax
(330) 253-2362
NPI assigned
Apr 26, 2007
Last updated
Mar 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2011

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

Authorized official

Name
Barbara L Young
Title
Manager
Phone
(330) 253-2113

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

300 Locust St
Suite 150
Akron, OH 44302-1821

Mailing address

300 Locust St
Suite 150
Akron, OH 44302-1821
Phone (330) 253-2113

Other identifiers 1

IdentifierTypeStateIssuer
0481394MedicaidOH

National Provider Directory

National Provider Directory

Locations

300 Locust St
Ste 460
Akron, OH 44302
Phone (216) 253-2113

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300147200000",
    "number": "1376763110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LOCUST ST",
            "address_2": "SUITE 150",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443021821",
            "telephone_number": "330-253-2113",
            "fax_number": "330-253-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LOCUST ST",
            "address_2": "SUITE 150",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443021821",
            "telephone_number": "330-253-2113",
            "fax_number": "330-253-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKRON PEDIATRIC NEUROLOGY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2011-03-15",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "330-253-2113"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0481394",
            "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 Mar 15, 2011; 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.