Healthcare Provider Details

I. General information

NPI: 1013870930
Provider Name (Legal Business Name): SUMMIT WOUND CARE AND LIMB SALVAGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2215 E WATERLOO RD STE 203
AKRON OH
44312-3821
US

IV. Provider business mailing address

1972 FIRESTONE TRCE
AKRON OH
44333-1155
US

V. Phone/Fax

Practice location:
  • Phone: 216-509-0182
  • Fax:
Mailing address:
  • Phone: 216-509-0182
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number State

VIII. Authorized Official

Name: DR. RENEE MACKEY
Title or Position: OWNER
Credential: DPM
Phone: 216-509-0182