CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC (NPI# 1225313448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225313448 |
Entity Type | Organization |
Organization Name | CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC |
Other Organization Name | CRYSTAL CLINIC ORTHOPAEDIC CENTER - WADSWORTH |
Practice Address |
323 High St Suite C Wadsworth OH 44281-1869 |
Mailing Address |
Po Box 72434 Cleveland OH 44192-0002 |
Practice Telephone | 3303351586 |
Practice Fax Number | 3303364236 |
Mailing Telephone | 3306684040 |
Mailing Fax Number | 3303364236 |
Enumeration Date | 2011-10-19 |
Last Update Date | 2013-05-31 |
Authorized Official Name | DR. RONALD R SUNTKEN (PRESIDENT/CEO) |
Authorized Official Telephone | 3306704152 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 284300000X | Special Hospital | Hospitals |
Other Name | Type Code |
---|---|
Crystal Clinic Orthopaedic Center - Wadsworth | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558922476 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 1 Eagle Valley Ct Ste 101, Broadview Hts, OH 44147-2982 | 2019-06-21 |
1134602808 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 500 W Hopocan Ave Ste 102, Barberton, OH 44203-2262 | 2018-09-10 |
1013428259 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 437 Portage Trl Ste B, Cuyahoga Falls, OH 44221-3227 | 2017-10-16 |
1467979971 | Crystal Clinic Orthopaedic Center, LLC | Pharmacy | 444 N Main St Fl 1, Akron, OH 44310-3110 | 2017-08-25 |
1366002321 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 4466 Fulton Dr Nw, Canton, OH 44718-2864 | 2019-06-20 |
1881138063 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 3975 Embassy Pkwy, Suite 003, Akron, OH 44333-8320 | 2016-12-07 |
1801338033 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 4975 Foote Rd, Suite 200, Medina, OH 44256-8748 | 2016-11-04 |
1578005708 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 1622 E Turkeyfoot Lake Rd, 201, Akron, OH 44312-5277 | 2016-11-04 |
1447528930 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 3925 Embassy Pkwy, Suite 300, Akron, OH 44333-1782 | 2011-12-12 |
1639402266 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 9318 State Route 14, Streetsboro, OH 44241-5224 | 2009-09-15 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC | 3925 Embassy Pkwy Ste 250, Akron, OH 44333-1799 |
Street Address |
323 HIGH ST SUITE C |
City | WADSWORTH |
State | OH |
Zip Code | 44281-1869 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245223882 | Robert Leslie Kleinman | Orthopaedic Surgery | 323 High St, Suite C, Wadsworth, OH 44281-1869 | 2005-08-30 |
1134394265 | Kent Management Group | Orthopaedic Surgery | 323 High St, Suite 101, Wadsworth, OH 44281-1869 | 2008-04-29 |
1316013550 | Partners Physician Group | Family Medicine | 323 High St, Wadsworth, OH 44281-1869 | 2006-11-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942764857 | Robert Andrew Welch | Contractor | 214 Stratford Avenue, Wadsworth, OH 44281 | 2019-01-24 |
1497236475 | Isaac Kennedy II | Case Manager/Care Coordinator | 205 Wadsworth Rd, Wadsworth, OH 44281 | 2018-08-27 |
1861906216 | Core Counseling & Consulting, LLC | Counselor | 6438 Ridge Rd, Office 5, Wadsworth, OH 44281 | 2017-11-21 |
1790203313 | Andrea Allington | Speech-Language Pathologist | 524 Broad Street, Wadsworth, OH 44281 | 2017-09-04 |
1669830840 | Christina Ann Cook | Nurse Practitioner | 200 Smokerise Dr., Suite 100, Wadsworth, OH 44281 | 2016-02-03 |
1619341484 | Modern Hearing Solutions of Wadsworth, Inc. | Hearing Aid Equipment | 1197 High St. Nw, Suite 100, Wadsworth, OH 44281 | 2015-11-17 |
1689042475 | Julia Copley | Counselor | 1219 High Street Suite 100, Wadsworth, OH 44281 | 2015-09-10 |
1083090070 | Brittany Morgan Reynolds | Physical Therapist | 145 Smokerise Drive, Wadsworth, OH 44281 | 2015-08-03 |
1912399122 | Beverly Major | Counselor | 6438 Ridge Rd., Wadsworth, OH 44281 | 2015-02-25 |
1073904538 | Wadsworth City Schools | Speech-Language Pathologist | 150 Silvercreek Rd., Wadsworth, OH 44281 | 2015-02-05 |
Find all providers in zip 44281 |
Taxonomy Code | 284300000X |
Grouping | Hospitals |
Classification | Special Hospital |
A designation by the AHA of a hospital whose primary function of the institution is to provide diagnostic and treatment services for patients who have specified medical conditions, both surgical and nonsurgical. |
Notes: Source: AHA Guide, Registration section, p. A5. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619588787 | Promedica Physicians At Home, LLC | Special Hospital | 1801 Richards Rd, Toledo, OH 43607-1037 | 2020-08-12 |
1558922476 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 1 Eagle Valley Ct Ste 101, Broadview Hts, OH 44147-2982 | 2019-06-21 |
1134602808 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 500 W Hopocan Ave Ste 102, Barberton, OH 44203-2262 | 2018-09-10 |
1225528938 | Wellcare Health System, LLC | Special Hospital | 241 N Superior St Ste 102, Toledo, OH 43604-1253 | 2018-05-17 |
1013428259 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 437 Portage Trl Ste B, Cuyahoga Falls, OH 44221-3227 | 2017-10-16 |
1952832305 | Long Island Jewish Forest Hills Hospital | Special Hospital | 3590 Blackberry Ln, Westlake, OH 44145-7400 | 2017-03-27 |
1770025652 | Aultman Radiation Oncology of Alliance Community Hosp | Special Hospital | 885 South Sawburg Ave Suite 108, Alliance, OH 44601-5926 | 2016-11-09 |
1245685452 | Rock Creek Medical Center | Special Hospital | 2863 St Rt 45 N, Rock Creek, OH 44084 | 2016-04-26 |
1558785329 | Saskia Richter | Special Hospital | 1442 Neil Ave Apt A, Columbus, OH 43201-2651 | 2014-02-13 |
1750626735 | Acuity Specialty Hospital | Special Hospital | 4697 Harrison St Fl 2, Bellaire, OH 43906-1338 | 2012-12-03 |
Find all providers with the same taxonomy |
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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.