Active NPI
Acen Waraidzo Oloya, M.D.
- Pediatrics Physician
- Mansfield, OH
National Provider Identifier
1629298971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35.090546
- Practice address
- 335 Glessner Ave
Mansfield, OH 44903-2269 - Phone
- (419) 520-2468
- Fax
- (419) 520-2469
- NPI assigned
- Apr 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35.090546 | OH | Primary |
Addresses
Primary practice location
335 Glessner Ave
Mansfield, OH 44903-2269
Mailing address
1 Perkins SQ
Akron, OH 44308-1063
Phone (419) 520-2468
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.090546 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Akron Children'S Hospital | Current | Accepting new patients | |
| Children'S Hospital Medical Center of Akron | Past | Accepting new patients | |
| Mercy Health-Regional Medical Center LLC | Past | Accepting new patients | |
| Mercy Health Youngstown LLC | Past | Accepting new patients |
Locations
1 Perkins Sq
Akron, OH 44308
Phone (330) 543-8050
Interoperability endpoints
- aoloya10635@direct.chmca.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Children's Hospital
- Akron, OH
- NPI 1942465752
-
- Children's Hospital
- Akron, OH
- NPI 1861506560
-
- General Acute Care Hospital
- Warren, OH
- NPI 1629009964
-
- General Acute Care Hospital
- Lorain, OH
- NPI 1245274950
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386806400000",
"number": "1629298971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 PERKINS SQ",
"city": "AKRON",
"state": "OH",
"postal_code": "443081063",
"telephone_number": "419-520-2468",
"fax_number": "419-520-2469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "335 GLESSNER AVE",
"city": "MANSFIELD",
"state": "OH",
"postal_code": "449032269",
"telephone_number": "419-520-2468",
"fax_number": "419-520-2469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLOYA",
"first_name": "ACEN",
"middle_name": "WARAIDZO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-27",
"last_updated": "2013-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35.090546",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mansfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.