Healthcare Provider Details

I. General information

NPI: 1649776519
Provider Name (Legal Business Name): EMRE EREN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2018
Last Update Date: 08/24/2024
Certification Date: 08/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 E MARKET ST
AKRON OH
44304-1619
US

IV. Provider business mailing address

2075 W 25TH ST APT 234
CLEVELAND OH
44113-4139
US

V. Phone/Fax

Practice location:
  • Phone: 330-379-5986
  • Fax:
Mailing address:
  • Phone: 440-242-8691
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberDR.0070028
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateOH
# 3
Primary TaxonomyY
Taxonomy Code207XX0004X
TaxonomyOrthopaedic Foot and Ankle Surgery Physician
License Number35.143054
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: