Crystal Plastic Surgeons, Inc.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

CRYSTAL PLASTIC SURGEONS, INC.

Practice address

3925 Embassy Pkwy
Akron, OH 44333-1763

Phone

(330) 668-4065

Fax

(330) 670-4160

NPI assigned

Dec 28, 2006

Organization subpart

No

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

Authorized official

Name

Glenna Kreitzburg

Title

Office Manager

Phone

(330) 668-4065

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gary A. Pennington, MD

  • Plastic Surgery Physician
  • Akron, OH
  • NPI 1093892325

  Plastic Surgery

  NPD (past)
• Mark Wells, MD

  • Plastic and Reconstructive Surgery Physician
  • Wilkes Barre, PA
  • NPI 1215926597

  Plastic Surgery

  NPD (past)

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1962568675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3925 EMBASSY PKWY",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443331763",
            "telephone_number": "330-668-4065",
            "fax_number": "330-670-4160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3925 EMBASSY PKWY",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443331763",
            "telephone_number": "330-668-4065",
            "fax_number": "330-670-4160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRYSTAL PLASTIC SURGEONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-28",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "KREITZBURG",
        "authorized_official_first_name": "GLENNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "330-668-4065"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CJ8526",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0150554",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crystal Clinic Orthopaedic Center, LLC
• Crystal Clinic Orthopaedic Center, LLC
• Crystal Clinic Orthopaedic Center, LLC
• Crystal Clinic Surgery Center, Inc.
• Crystal Clinic, Inc.
• Crystalworks LTD.
• David Scott Csepe
• Kincso Csibi, PHARMD
• Anthony R Cucci, MD
• Michaelia Cucci, PHARMD

• All providers in Akron, OH
• Plastic Surgery Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.