Healthcare Provider Details

I. General information

NPI: 1538176136
Provider Name (Legal Business Name): NORTHEAST OHIO CARDIOVASCULAR SPECIALISTS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/03/2006
Last Update Date: 10/15/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

185 W CEDAR ST STE 100
AKRON OH
44307-2441
US

IV. Provider business mailing address

185 W CEDAR ST STE 203
AKRON OH
44307-2447
US

V. Phone/Fax

Practice location:
  • Phone: 330-376-0500
  • Fax: 330-376-9900
Mailing address:
  • Phone: 330-376-1500
  • Fax: 330-376-5200

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: ANN PARKER
Title or Position: CHEIF FINANCIAL OFFICER
Credential: CPA
Phone: 330-376-0500