Healthcare Provider Details

I. General information

NPI: 1528221777
Provider Name (Legal Business Name): KARIN PLUMMER POTOKA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARIN CARLSON PLUMMER RN

II. Dates (important events)

Enumeration Date: 07/08/2008
Last Update Date: 12/02/2025
Certification Date: 12/11/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PERKINS SQ AKRON CHILDREN'S HOSPITAL
AKRON OH
44308-1063
US

IV. Provider business mailing address

1 PERKINS SQ
AKRON OH
44308-1063
US

V. Phone/Fax

Practice location:
  • Phone: 412-958-9741
  • Fax:
Mailing address:
  • Phone: 330-543-0541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMT 192584
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD442451
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberMD442451
License Number StatePA
# 4
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number35.132437
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: