Ronald S Immerman, MD
Individual provider Active NPI Psychiatry Physician · Akron, OH
NPI 1942385232 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1942385232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- 35047129I (OH)
- Practice address
- 340 S Broadway St
Akron, OH 44308-1529 - Phone
- (330) 253-3100
- Fax
- (330) 253-5248
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35047129I | OH | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathways Inc. | Past | Accepting new patients | |
| Pathways Inc | Past | Accepting new patients | |
| Portage Path Behavioral Health | Past | Accepting new patients | |
| Portage Path Community Mental Health Center | Past | Accepting new patients | |
| Psychological & Behavioral Consultants, LLC | Psychiatry | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35047129I | OH | Yes |
Addresses
Primary practice location
340 S Broadway St
Akron, OH 44308-1529
Mailing address
340 S Broadway St
Akron, OH 44308-1529
Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.