Healthcare Provider Details

I. General information

NPI: 1962588293
Provider Name (Legal Business Name): AKRON NEONATOLOGY INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 LOCUST ST SUITE 540
AKRON OH
44302-1809
US

IV. Provider business mailing address

300 LOCUST ST SUITE 540
AKRON OH
44302-1809
US

V. Phone/Fax

Practice location:
  • Phone: 330-543-3848
  • Fax: 330-543-8356
Mailing address:
  • Phone: 330-543-8348
  • Fax: 330-543-8356

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DONALD GARY BENFIELD
Title or Position: PRESIDENT
Credential: MD
Phone: 330-543-8344