CRYSTAL CLINIC INC (NPI# 1063966042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063966042 |
| Entity Type | Organization |
| Organization Name | CRYSTAL CLINIC INC |
| Practice Address |
1622 E Turkeyfoot Lake Rd Suite 201 Akron OH 44312-5277 |
| Mailing Address |
3925 Embassy Pkwy 250 Akron OH 44333-1782 |
| Practice Telephone | 3307764444 |
| Practice Fax Number | 3307764449 |
| Mailing Telephone | 3306684040 |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |
| Authorized Official Name | RONALD SUNTKEN (CEO) |
| Authorized Official Telephone | 3306704152 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
1622 E TURKEYFOOT LAKE RD SUITE 201 |
| City | AKRON |
| State | OH |
| Zip Code | 44312-5277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922072032 | Craig Bradley Polifrone | Obstetrics & Gynecology | 1622 E Turkeyfoot Lake Rd, #301, Akron, OH 44312-5277 | 2006-02-15 |
| 1578005708 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 1622 E Turkeyfoot Lake Rd, 201, Akron, OH 44312-5277 | 2016-11-04 |
| 1326442815 | Britney Leigh Larimore | Nurse Practitioner | 1622 E Turkeyfoot Lake Rd, #301, Akron, OH 44312-5277 | 2014-10-13 |
| 1275978371 | Leigh S Wells | Pediatrics | 1622 E Turkeyfoot Lake Rd, Achp Green, Akron, OH 44312-5277 | 2013-05-02 |
| 1902134182 | Da'na M Langford | Advanced Practice Midwife | 1622 E Turkeyfoot Lake Rd, #301, Akron, OH 44312-5277 | 2009-11-25 |
| 1154552545 | Vickie L Klutts | Nurse Practitioner | 1622 E Turkeyfoot Lake Rd, Ste. 301, Akron, OH 44312-5277 | 2009-08-03 |
| 1992941504 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 1622 E Turkeyfoot Lake Rd, Suite 200, Akron, OH 44312-5277 | 2009-01-02 |
| 1598949414 | Linda L Delciappo | Midwife | 1622 E Turkeyfoot Lake Rd, #301, Akron, OH 44312-5277 | 2007-12-27 |
| 1487877452 | Heidi Anne Beining | Obstetrics & Gynecology | 1622 E Turkeyfoot Lake Rd, #301, Akron, OH 44312-5277 | 2007-04-10 |
| 1427173145 | George L Drake IIi | Obstetrics & Gynecology | 1622 E Turkeyfoot Lake Rd, #301, Akron, OH 44312-5277 | 2007-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114536604 | Taryn Maureen Bell | Contractor | 2727 Rapids Way, Akron, OH 44312 | 2020-07-30 |
| 1497378350 | Modern Hearing Solutions of Akron Inc. | Audiologist-Hearing Aid Fitter | 2745 S. Arlington Road #b, Akron, OH 44312 | 2020-05-26 |
| 1790349819 | Christine Lynn Cannell | Nurse Practitioner | 3593 S Arlington Road, Suite D, Akron, OH 44312 | 2019-04-24 |
| 1780122168 | Compass Counseling Services, LLC | Counselor | 1033 E Turkeyfoot Lake Rd Ste 104, Akron, OH 44312 | 2017-02-06 |
| 1306204052 | Detra Antoine | Nurse's Aide | 3095 Forest Pk Blvd, Akron, OH 44312 | 2016-02-09 |
| 1154731164 | Barbara Simione | Licensed Practical Nurse | 500 James Avenue, Akron, OH 44312 | 2014-04-29 |
| 1891099479 | Maxwell Medical Supplies and Healthcare | Durable Medical Equipment & Medical Supplies | 1474 Manchester Road, Akron, OH 44312 | 2010-12-22 |
| 1972751204 | Rem Ohio, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3155 Pickle Road, Akron, OH 44312 | 2008-08-28 |
| 1326233487 | Lisa Jean Foster | Nurse Practitioner | 4125 Medina Road, Suite 104, The Surgery Center, Akron, OH 44312 | 2007-09-12 |
| 1639362825 | Rachelle De Ann Taylor | Nurse's Aide | 1920 N Garden Ct, Apt 1b, Akron, OH 44312 | 2007-08-22 |
| Find all providers in zip 44312 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376748087 | Jovan Riste Laskovski | Orthopaedic Surgery | 1622 E Turkeyfoot Lake Rd Ste 200, Akron, OH 44312-5277 | 2007-06-21 |
| 1770590226 | Joseph B Blanda | Orthopaedic Surgery | 2383 S Main St, Suite D106, Akron, OH 44319-1190 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104442516 | Beacon Orthopaedics & Sports Medicine, Ltd | Orthopaedic Surgery | 100 Arrow Springs Blvd Ste 2600, Lebanon, OH 45036-7021 | 2020-06-22 |
| 1790281517 | Mercy Health Physicians Cincinnati LLC | Orthopaedic Surgery | 6770 Cincinnati Dayton Rd Ste 110, Liberty Township, OH 45044-9319 | 2018-04-02 |
| 1952817413 | Caitlin Elisabeth Lefevre | Orthopaedic Surgery | 1000 Regency Ct Ste 212, Toledo, OH 43623-3091 | 2017-12-20 |
| 1255740197 | Orthocincy | Orthopaedic Surgery | 440 Corwin Nixon Blvd, South Lebanon, OH 45065-1196 | 2014-08-05 |
| 1427465517 | Anthony Stephen Berdis | Orthopaedic Surgery | 1695 Niles Cortland Road Ne Ste 2, Warren, OH 44484 | 2014-07-21 |
| 1831525500 | Mccullough-hyde Memorial Hospital, Inc. | Orthopaedic Surgery | 5151 Morning Sun Rd Ste A, Pinnacle Orthopaedics & Sports Medicine, Oxford, OH 45056-9546 | 2013-09-25 |
| 1699020206 | Benjamin D. Richman | Orthopaedic Surgery | 245 Meadowood Ln, Moreland Hills, OH 44022-1342 | 2012-07-19 |
| 1083945638 | Orthocincy | Orthopaedic Surgery | 7626 University Dr, Suite 102, West Chester, OH 45069-2509 | 2010-01-21 |
| 1669602140 | David Alan Brys | Orthopaedic Surgery | 2785 Timbercreek Dr N, Cortland, OH 44410 | 2009-07-20 |
| 1730314238 | Ian Sterling Rice | Orthopaedic Surgery | 4030 Smith Rd Ste 350, Cincinnati, OH 45209-1969 | 2009-05-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.