Organization Active NPI

Yellow Creek Primary Care, Inc.

  • Family Medicine Physician
  • Akron, OH
National Provider Identifier
1619468105
Registry record updated Jun 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34007700 Issued in OH
Legal business name
YELLOW CREEK PRIMARY CARE, INC.
Practice address
3453 Granger Rd
Akron, OH 44333
Phone
(234) 466-7395
NPI assigned
May 21, 2018
Last updated
Jun 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2018

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

Authorized official

Name
Lori Gemma, DO
Title
Owner
Phone
(330) 239-4989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34007700 OH Primary

Addresses

Primary practice location

3453 Granger Rd
Akron, OH 44333

Mailing address

3453 Granger Rd
Akron, OH 44333-1532
Phone (234) 466-7395

National Provider Directory

National Provider Directory

Locations

3453 Granger Rd
Akron, OH 44333
Phone (234) 466-7395

NPI Registry JSON

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

{
    "created_epoch": "1526860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528243200000",
    "number": "1619468105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3453 GRANGER RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443331532",
            "telephone_number": "234-466-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3453 GRANGER RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "44333",
            "telephone_number": "234-466-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YELLOW CREEK PRIMARY CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-21",
        "last_updated": "2018-06-06",
        "status": "A",
        "authorized_official_last_name": "GEMMA",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-239-4989",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34007700",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Jun 6, 2018; 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.