NPIMap

Individual provider Active NPI

Nicholas Alan Sudzina, PA-C

  • Physician Assistant
  • Akron, OH
National Provider Identifier
1437662871
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.005329RX Issued in OH
Practice address
3975 Embassy Pkwy Ste 102
Akron, OH 44333-8335
Phone
(330) 668-4040
NPI assigned
Nov 8, 2017
Last updated
Jul 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.005329RX OH Primary

Addresses

Primary practice location

3975 Embassy Pkwy Ste 102
Akron, OH 44333-8335

Mailing address

563 Knollwood Ave
Tallmadge, OH 44278-1324
Phone (330) 980-8649

Other practice location 1

525 E Market St
Akron, OH 44304-1619
Phone (330) 375-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171207001063 OH Practitioner - Physician Assistant 4880951482 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2007 State Route 59
Kent, OH 44240-7610
Phone (330) 673-6299

3975 Embassy Pkwy
Suite 202
Akron, OH 44333-8395
Phone (330) 668-4085

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.005329RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Crystal Clinic Orthopaedic Center LLC CurrentSince Nov 12, 2018 Accepting new patients
Crystal Clinic Orthopaedic Center LLC Physician Assistant CurrentSince Nov 12, 2018 Accepting new patients

Locations

3975 Embassy Pkwy
Akron, OH 44333
Phone (330) 670-4242

3975 Embassy Pkwy
#3
Akron, OH 44333

3975 Embassy Pkwy
Ste 202
Akron, OH 44333
Phone (330) 668-4085

4466 Fulton Dr NW
Canton, OH 44718
Phone (330) 489-1386

3557 Embassy Pkwy
Fairlawn, OH 44333
Phone (330) 670-1005

3975 Embassy Pkwy
Ste 102
Fairlawn, OH 44333
Phone (330) 668-4050

1622 E Turkeyfoot Lake Rd
Ste 200
Green, OH 44312
Phone (330) 644-7436

1310 Corporate Dr
Hudson, OH 44236
Phone (330) 344-3030

2007 State Route 59
Kent, OH 44240
Phone (330) 673-1904

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1437662871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "563 KNOLLWOOD AVE",
            "city": "TALLMADGE",
            "state": "OH",
            "postal_code": "442781324",
            "telephone_number": "330-980-8649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 EMBASSY PKWY STE 102",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443338335",
            "telephone_number": "330-668-4040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 E Market St",
            "address_purpose": "LOCATION",
            "city": "Akron",
            "state": "OH",
            "postal_code": "443041619",
            "country_code": "US",
            "telephone_number": "330-375-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUDZINA",
        "first_name": "NICHOLAS",
        "middle_name": "ALAN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-11-08",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.005329RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.