Individual provider Active NPI

Gregory William John Hawryluk, MD, PHD, FRCSC

  • Neurological Surgery Physician
  • Fairlawn, OH
National Provider Identifier
1871934596
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
8957400-1205 Issued in UT
Practice address
762 S Cleveland Massillon Rd
Fairlawn, OH 44333-3024
Phone
(330) 665-4100
Fax
(330) 665-4190
NPI assigned
Jul 10, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 8957400-1205 UT Primary

Addresses

Primary practice location

762 S Cleveland Massillon Rd
Fairlawn, OH 44333-3024

Mailing address

PO Box 413030
Salt Lake City, UT 84141-3030
Phone (801) 213-3900

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
I20220708001731 OH Practitioner - Neurosurgery 0648413393 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Partners Physician GroupGroup PAC ID 4183529340, 409 clinicians

Practice addresses (Care Compare)

762 S Cleveland Massillon Rd
Fairlawn, OH 44333-3024
Phone (330) 344-2663

Hospital & facility affiliations

  • Akron General Medical Center Hospital, Akron, OH, CCN 360027
  • Mercy Medical Center Hospital, Canton, OH, CCN 360070

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion12
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Partners Physician Group CurrentSince Aug 1, 2022 Accepting new patients
Partners Physician Group CurrentSince Aug 1, 2022 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Jul 5, 2024 Accepting new patients
Akron General Medical Center Past Accepting new patients
Partners Physician Group Past Accepting new patients

Locations

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

224 W Exchange St
Ste 160
Akron, OH 44302
Phone (330) 344-6505

1 Akron General Ave
Akron, OH 44307
Phone (330) 344-5760

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

762 S Cleveland Massillon Rd
Fairlawn, OH 44333
Phone (330) 665-4100

6801 Brecksville Rd
Ste 20
Seven Hills, OH 44131
Phone (216) 445-3363

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1871934596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 413030",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841413030",
            "telephone_number": "801-213-3900",
            "fax_number": "801-585-3655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "762 S CLEVELAND MASSILLON RD",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443333024",
            "telephone_number": "330-665-4100",
            "fax_number": "330-665-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWRYLUK",
        "first_name": "GREGORY",
        "middle_name": "WILLIAM JOHN",
        "name_prefix": "Dr.",
        "credential": "MD, PHD, FRCSC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-07-10",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "UT",
            "license": "8957400-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

Verify at the official NPI Registry.