CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC (NPI# 1265678882) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265678882 |
| Entity Type | Organization |
| Organization Name | CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC |
| Other Organization Name | CRYSTAL CLINIC ORTHOPAEDIC CENTER - ORTHOPAEDIC SURGEONS |
| Practice Address |
3975 Embassy Pkwy Akron OH 44333-8320 |
| Mailing Address |
Po Box 72434 Cleveland OH 44192-0002 |
| Practice Telephone | 3306684050 |
| Practice Fax Number | 3306684078 |
| Mailing Telephone | 3306687402 |
| Mailing Fax Number | 3306662709 |
| Enumeration Date | 2009-01-02 |
| Last Update Date | 2013-03-22 |
| Authorized Official Name | RONALD R SUNTKEN (PRESIDENT) |
| Authorized Official Telephone | 3306684040 |
| Authorized Official Credential | ED.D. |
| 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 - Orthopaedic Surgeons | 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 |
| 1225313448 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 323 High St, Suite C, Wadsworth, OH 44281-1869 | 2011-10-19 |
| 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 |
3975 EMBASSY PKWY |
| City | AKRON |
| State | OH |
| Zip Code | 44333-8320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104818038 | Crystal Clinic Surgery Center, Inc. | Clinic/Center | 3975 Embassy Pkwy, Suite 202, Akron, OH 44333-8320 | 2005-08-17 |
| 1659980431 | Baylee Marie Burns | Physician Assistant | 3975 Embassy Pkwy, Akron, OH 44333-8320 | 2020-07-28 |
| 1396255766 | Chance William Mitan | Physician Assistant | 3975 Embassy Pkwy, Akron, OH 44333-8320 | 2017-10-11 |
| 1881138063 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 3975 Embassy Pkwy, Suite 003, Akron, OH 44333-8320 | 2016-12-07 |
| 1144762600 | Mallory Ann Lorence | Specialist/Technologist | 3975 Embassy Pkwy, Akron, OH 44333-8320 | 2016-11-14 |
| 1235687161 | Marissa Rokicki | Nurse Anesthetist, Certified Registered | 3975 Embassy Pkwy, Suite 202, Akron, OH 44333-8320 | 2016-09-20 |
| 1952769713 | Nicole D'amico | Physician Assistant | 3975 Embassy Pkwy, Akron, OH 44333-8320 | 2016-02-08 |
| 1831572742 | Blake Schmucker | Specialist/Technologist | 3975 Embassy Pkwy, Akron, OH 44333-8320 | 2015-07-09 |
| 1023434552 | Kodi Veale | Physician Assistant | 3975 Embassy Pkwy, Akron, OH 44333-8320 | 2014-03-07 |
| 1982030326 | Michelle M Kilbane | Physician Assistant | 3975 Embassy Pkwy, Akron, OH 44333-8320 | 2013-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083223341 | National Vision Inc | Optometrist | 2665 West Market Street, Fairlawn, OH 44333 | 2020-07-23 |
| 1619468105 | Yellow Creek Primary Care, Inc. | Family Medicine | 3453 Granger Rd, Akron, OH 44333 | 2018-05-21 |
| 1336655984 | Laura Ann Starkey | Nurse Practitioner | 3562 Ridge Park Dr # D1, Fairlawn, OH 44333 | 2017-12-19 |
| 1952814329 | Linda Long | Behavioral Analyst | 3428 W. Market Street, Fairlawn, OH 44333 | 2017-11-08 |
| 1366967325 | Heidi Harper | Behavioral Analyst | 373 Stratford Rd., Fairlawn, OH 44333 | 2017-08-10 |
| 1215459151 | Lisa Marie Kosley | Registered Nurse | 3250 West Market, Suite 2, Fairlawn, OH 44333 | 2017-07-12 |
| 1053764530 | Lindsey Foradis | Nurse Practitioner | 3600 W Market St Ste 200, Fairlawn, OH 44333 | 2016-07-19 |
| 1922484740 | Let's Talk Quality Services, Inc. | Day Training, Developmentally Disabled Services | 462 Gresham Drive, Fairlawn, OH 44333 | 2015-08-04 |
| 1770973240 | Amelia Evans | Licensed Practical Nurse | 3040 West Market St., Interim Healthcare, Akron, OH 44333 | 2015-02-04 |
| 1770908774 | Mary Catherine Boettcher | Speech-Language Pathologist | 150 N. Miller Rd., Suite # 150 A, Akron, OH 44333 | 2014-02-27 |
| Find all providers in zip 44333 | ||||
| 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 |
|---|---|---|---|---|
| 1881138063 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 3975 Embassy Pkwy, Suite 003, Akron, OH 44333-8320 | 2016-12-07 |
| 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 |
| 1053558056 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 3975 Embassy Pkwy, Suite 202, Akron, OH 44333-8320 | 2009-01-13 |
| 1992941504 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 1622 E Turkeyfoot Lake Rd, Suite 200, Akron, OH 44312-5277 | 2009-01-02 |
| 1922244623 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 3925 Embassy Pkwy, Akron, OH 44333-1782 | 2008-12-30 |
| 1417193129 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 20 Olive St, Suite 200, Akron, OH 44310-3165 | 2008-12-30 |
| 1669669917 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 444 N Main St, Akron, OH 44310-3110 | 2007-10-01 |
| 1154431807 | Akron Va Medical Center | Special Hospital | 55 W Waterloo Rd, Akron, OH 44319-1116 | 2006-08-30 |
| 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 |
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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.