Healthcare Provider Details

I. General information

NPI: 1396863353
Provider Name (Legal Business Name): TODD A. BROWN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 02/19/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

AKRON CHILDREN'S HOSPITAL ANESTHESIA DEPARTMENT ONE PERKINS SQUARE
AKRON OH
44308-1062
US

IV. Provider business mailing address

1 PERKINS SQ
AKRON OH
44308-1063
US

V. Phone/Fax

Practice location:
  • Phone: 330-543-8823
  • Fax:
Mailing address:
  • Phone: 330-543-8823
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207LP3000X
TaxonomyPediatric Anesthesiology Physician
License Number35067841
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: