Organization Active NPI

Gary D Lichten MD Inc

  • Specialist
  • Akron, OH
National Provider Identifier
1922213388
Registry record updated May 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35038945 Issued in OH
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

Updated by the provider on May 5, 2010

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0368963MedicaidOH

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.