Plastic Surgeons of Akron LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

PLASTIC SURGEONS OF AKRON LLC

Practice address

270 S Cleveland Massillon Rd Ste C
Fairlawn, OH 44333-6000

Phone

(330) 443-0221

NPI assigned

Feb 8, 2021

Organization subpart

No

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

Authorized official

Name

Dr. John Pedersen, MD

Title

Physician

Phone

(330) 351-0300

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1612742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634515200000",
    "number": "1942892237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 S CLEVELAND MASSILLON RD STE C",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443336000",
            "telephone_number": "330-443-0221",
            "fax_number": "330-303-1880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 S CLEVELAND MASSILLON RD STE C",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443336000",
            "telephone_number": "330-443-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGEONS OF AKRON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-08",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A",
        "authorized_official_last_name": "PEDERSEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "330-351-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolyn Irene Pickler, MA, LPCC
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• Carrie Plake
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• Plastic Surgery Physician in Fairlawn, OH
• Providers in Fairlawn, OH by specialty
• Plastic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.