Healthcare Provider Details
I. General information
NPI: 1457520272
Provider Name (Legal Business Name): JAMES THOMAS ERKARD JR. DPM
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/26/2008
Last Update Date: 04/11/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
463 W MARKET ST
AKRON OH
44303-1808
US
IV. Provider business mailing address
172 STEEPLECHASE LN
MUNROE FALLS OH
44262-1745
US
V. Phone/Fax
- Phone: 330-630-3826
- Fax:
- Phone: 330-630-3826
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 213ES0000X |
| Taxonomy | Sports Medicine Podiatrist |
| License Number | 36-002194 |
| License Number State | OH |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 213ES0131X |
| Taxonomy | Foot Surgery Podiatrist |
| License Number | 36-002194 |
| License Number State | OH |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | CPED 2341 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: