Individual provider Active NPI

Harry C Kellermier Jr., MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Akron, OH
National Provider Identifier
1871750653
Registry record updated Jun 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
35091477 Issued in OH
Practice address
525 E Market St
Akron, OH 44304-1619
Phone
(330) 375-3786
NPI assigned
May 20, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 35091477 OH Primary

Addresses

Primary practice location

525 E Market St
Akron, OH 44304-1619

Mailing address

30701 Lorain Rd Ste a
North Olmsted, OH 44070-6325
Phone (440) 274-5000

Other identifiers 1

IdentifierTypeStateIssuer
2842571MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080626000433 OH Practitioner - Pathology 3779655303 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95 of 100Reported as group
Quality
90
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35091477OHMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Akron Digestive Disease Consultants, Inc CurrentSince May 1, 2021 Accepting new patients
Akron Radiology Inc Current Accepting new patients
Gastroenterology Group Inc CurrentSince May 1, 2021 Accepting new patients

Locations

525 E Market St
Akron, OH 44304
Phone (330) 375-6350

570 White Pond Dr
Ste 200
Akron, OH 44320

570 White Pond Dr
Ste 150
Akron, OH 44320
Phone (330) 869-0173

3800 Embassy Pkwy
Ste 100
Akron, OH 44333

155 5th St NE
Barberton, OH 44203
Phone (330) 615-3000

1900 23rd St
Cuyahoga Fls, OH 44223
Phone (330) 929-2685

195 Wadsworth Rd
Wadsworth, OH 44281
Phone (330) 331-1000

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.

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401926400000",
    "number": "1871750653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30701 LORAIN RD STE A",
            "city": "NORTH OLMSTED",
            "state": "OH",
            "postal_code": "440706325",
            "telephone_number": "440-274-5000",
            "fax_number": "440-716-8608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E MARKET ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443041619",
            "telephone_number": "330-375-3786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLERMIER",
        "first_name": "HARRY",
        "middle_name": "C",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2014-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OH",
            "license": "35091477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2842571",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Akron, OH

Sources for this page

Verify at the official NPI Registry.