Akron Pediatric Surgical Associates, Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

01295728 Issued in OH

Legal business name

AKRON PEDIATRIC SURGICAL ASSOCIATES, INC

Practice address

300 Locust St
Suite 560
Akron, OH 44302-1809

Phone

(330) 434-5341

Fax

(330) 434-1403

NPI assigned

Sep 21, 2006

Organization subpart

No

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

Authorized official

Name

Dr. David A Andrews, M.D.NPI 1821196825

Title

President

Phone

(330) 434-5341

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 5

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

• David A Andrews, M.D.

  • Pediatric Surgery Physician
  • Akron, OH
  • NPI 1821196825

  Specialist

  Medicare reassignment NPD Authorized official
• Timothy P Pittinger, M.D.

  • Specialist
  • Akron, OH
  • NPI 1255436937
  Medicare reassignment NPD
• Mark O McCollum, M.D.

  • Pediatric Surgery Physician
  • New Brunswick, NJ
  • NPI 1790880755
  NPD
• Cynthia L. Bennett, C.N.P.

  • Nurse Practitioner
  • Akron, OH
  • NPI 1508881756
  NPD (past)
• John Paul Crow, M.D.

  • Pediatric Surgery Physician
  • Dayton, OH
  • NPI 1992803993
  NPD (past)

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447358445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LOCUST ST",
            "address_2": "SUITE 560",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443021809",
            "telephone_number": "330-434-5341",
            "fax_number": "330-434-1403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LOCUST ST",
            "address_2": "SUITE 560",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443021809",
            "telephone_number": "330-434-5341",
            "fax_number": "330-434-1403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AKRON PEDIATRIC SURGICAL ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ANDREWS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "330-434-5341",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "01295728",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2357337",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Akron Oh Caregiving LLC (Cornerstone Caregiving)
• Akron Oral & Maxillofacial Surgery Group
• Akron Pathology Assoc Inc
• Akron Pediatric Neurology, Inc
• Akron Pediatric Ophthalmology and Ophthalmic Plastic Surgery, Inc
• Akron Pharmacy (MAC Pharmacy)
• Akron Pharmacy (MAC Pharmacy LTC)
• Akron Pharmacy (MAC Pharmacy)
• Akron Plastic Surgeons, Inc.
• Akron Preparatory School

• Specialist in Akron, OH
• Providers in Akron, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.