MEDICARE: TODD MICHAEL IVAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084P0800X	Psychiatry Physician	35-063976	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598742744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TODD MICHAEL IVAN MD

Provider Business Mailing Address
First Line	:	525 E MARKET ST
Second Line	:	PO BOX 2090
City	:	AKRON
State	:	OH
Zip	:	44304-1619
Country	:	US
Telephone Number	:	330-379-8190
Fax Number	:	330-379-8191

Provider Business Practice Location Address
First Line	:	444 N MAIN ST
Second Line	:	6TH FLOOR
City	:	AKRON
State	:	OH
Zip	:	44310-3110
Country	:	US
Telephone Number	:	330-379-8190
Fax Number	:	330-379-8191

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2005
Last Update Date	:	04/23/2013

Similar Medicare Providers

1871583823 — CHRISTINE D HUDAK MD
Practice Location Address:

444 N MAIN ST
AKRON, OH
44310-3110

Practice Phone: 330-379-5100
Practice Fax: 330-379-5177

1033196274 — DR. CHRISTOPHER MICHAEL DURNER DO
Practice Location Address:

444 N MAIN ST
AKRON, OH
44310-3110

Practice Phone: 330-379-5235
Practice Fax: 330-379-9226

1104803261 — VICTORIA LYNN SANELLI MD
Practice Location Address:

444 N MAIN ST
AKRON, OH
44310-3110

Practice Phone: 330-379-5235
Practice Fax: 330-379-9226

1700863867 — JOSEPH DAVID VARLEY MD
Practice Location Address:

444 N MAIN ST , 4TH FLOOR
AKRON, OH
44310-3110

Practice Phone: 330-379-9548
Practice Fax: 330-379-5124

1215909924 — MS. HOLLIE ANN KOZAK ATC, LAT
Practice Location Address:

444 N MAIN ST , MAIN 3
AKRON, OH
44310-3110

Practice Phone: 330-379-5356
Practice Fax: 330-379-5911

1902879273 — MR. JEREMY LEE FORD ATC
Practice Location Address:

444 N MAIN ST
AKRON, OH
44310-3110

Practice Phone: 330-379-9488
Practice Fax: 330-379-5511

Directions to “ TODD MICHAEL IVAN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.