Active NPI
Gary D Lichten MD Inc
- Specialist
- Akron, OH
National Provider Identifier
1922213388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 35038945
- Legal business name
- GARY D LICHTEN MD INC
- Practice address
- 157 W Cedar St
Ste. 201
Akron, OH 44307-2564 - Phone
- (330) 253-7164
- Fax
- (330) 434-3376
- NPI assigned
- May 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gary D Lichten, MD
- Title
- President
- Phone
- (330) 253-7164
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 35038945 | OH | Primary |
Addresses
Primary practice location
157 W Cedar St
Ste. 201
Akron, OH 44307-2564
Mailing address
157 W Cedar St
Ste. 201
Akron, OH 44307-2564
Phone (330) 253-7164
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0368963 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
157 W Cedar St
Ste 201
Akron, OH 44307
Phone (330) 253-7164
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1273017600000",
"number": "1922213388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "157 W CEDAR ST",
"address_2": "STE. 201",
"city": "AKRON",
"state": "OH",
"postal_code": "443072564",
"telephone_number": "330-253-7164",
"fax_number": "330-434-3376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 W CEDAR ST",
"address_2": "STE. 201",
"city": "AKRON",
"state": "OH",
"postal_code": "443072564",
"telephone_number": "330-253-7164",
"fax_number": "330-434-3376"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARY D LICHTEN MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-11",
"last_updated": "2010-05-05",
"status": "A",
"authorized_official_last_name": "LICHTEN",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "330-253-7164",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": "OH",
"license": "35038945",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0368963",
"state": "OH"
}
],
"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 May 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.