Healthcare Provider Details

I. General information

NPI: 1518540319
Provider Name (Legal Business Name): AUGUST WILLIAM RUNYON DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2021
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1493 S HAWKINS AVE
AKRON OH
44320-3416
US

IV. Provider business mailing address

1493 S HAWKINS AVE
AKRON OH
44320-3416
US

V. Phone/Fax

Practice location:
  • Phone: 330-865-5333
  • Fax:
Mailing address:
  • Phone: 330-865-5333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0000X
TaxonomyPain Medicine Physician
License Number34.017324
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: