Healthcare Provider Details

I. General information

NPI: 1871504894
Provider Name (Legal Business Name): AKRON GENERAL EKG ASSOCIATES, LTD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/11/2006
Last Update Date: 01/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 WABASH AVE
AKRON OH
44307-2433
US

IV. Provider business mailing address

7500 OLD OAK BLVD
CLEVELAND OH
44130-3343
US

V. Phone/Fax

Practice location:
  • Phone: 330-344-7759
  • Fax: 330-996-2498
Mailing address:
  • Phone: 440-777-6300
  • Fax: 440-777-2300

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: MS. ANN PARKER
Title or Position: CFO
Credential:
Phone: 330-297-6110