Healthcare Provider Details

I. General information

NPI: 1679535520
Provider Name (Legal Business Name): PEDIATRICS OF AKRON, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 LOCUST ST SUITE 200
AKRON OH
44302-1821
US

IV. Provider business mailing address

300 LOCUST ST SUITE 200
AKRON OH
44302-1821
US

V. Phone/Fax

Practice location:
  • Phone: 330-253-7753
  • Fax: 330-253-4611
Mailing address:
  • Phone: 330-253-7753
  • Fax: 330-253-4611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM H. GINTHER
Title or Position: TREASURER
Credential: M.D.
Phone: 330-253-7753