Healthcare Provider Details

I. General information

NPI: 1851876502
Provider Name (Legal Business Name): FRANCESCA CARRA SHICK MSPAS, PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2018
Last Update Date: 01/12/2024
Certification Date: 01/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 PERKINS SQ
AKRON OH
44308-1063
US

IV. Provider business mailing address

1 PERKINS SQ
AKRON OH
44308-1063
US

V. Phone/Fax

Practice location:
  • Phone: 330-543-8050
  • Fax: 330-543-8054
Mailing address:
  • Phone: 330-543-8050
  • Fax: 330-543-8054

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number50.006140RX
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: