Healthcare Provider Details

I. General information

NPI: 1316938509
Provider Name (Legal Business Name): GREGORY PETER KNAPIK NP
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 11/04/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

209 CARROLL ST. MARY GLADWIN HALL ROOM 116
AKRON OH
44325-0001
US

IV. Provider business mailing address

797 IROQUOIS TRL
MACEDONIA OH
44056-1264
US

V. Phone/Fax

Practice location:
  • Phone: 330-972-6968
  • Fax: 330-972-5883
Mailing address:
  • Phone: 330-467-0009
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberRN 190418
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberRN 190418
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: