Healthcare Provider Details

I. General information

NPI: 1306879259
Provider Name (Legal Business Name): AKRON GENERAL MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4125 MEDINA RD
AKRON OH
44333-2483
US

IV. Provider business mailing address

3428 W MARKET ST SUITE 103
FAIRLAWN OH
44333-3339
US

V. Phone/Fax

Practice location:
  • Phone: 330-344-4028
  • Fax: 330-869-2074
Mailing address:
  • Phone: 330-344-4028
  • Fax: 330-869-2074

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: ALAN J PAPA
Title or Position: VICE PRESIDENT
Credential:
Phone: 330-344-2131