Healthcare Provider Details

I. General information

NPI: 1841247103
Provider Name (Legal Business Name): CRYSTAL ARTHRITIS CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2006
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

471 N. CLEVELAND MASSILLON RD.
AKRON OH
44333
US

IV. Provider business mailing address

471 N CLEVELAND MASSILLON RD
AKRON OH
44333-2426
US

V. Phone/Fax

Practice location:
  • Phone: 330-668-4045
  • Fax: 330-668-2492
Mailing address:
  • Phone: 330-668-4045
  • Fax: 330-668-2492

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332900000X
TaxonomyNon-Pharmacy Dispensing Site
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number StateOH

VIII. Authorized Official

Name: MRS. NIKKI DONATO
Title or Position: PRACTICE ADMINISTRATOR
Credential:
Phone: 330-670-4026