DR. MICHAEL J. WAICKMAN (NPI# 1386644631) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386644631 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL J. WAICKMAN |
| Credential | M.D. |
| Practice Address |
544 White Pond Dr Suite B Akron OH 44320-1141 |
| Practice Telephone | 3308673767 |
| Practice Fax Number | 3308674857 |
| Mailing Telephone | 3308673767 |
| Mailing Fax Number | 3308674857 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 35-05-9865-W | OH | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2197475 | 05 |
| Street Address |
544 WHITE POND DR SUITE B |
| City | AKRON |
| State | OH |
| Zip Code | 44320-1141 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245235241 | James F Mungo | Dentist | 544 White Pond Dr, Ste C, Akron, OH 44320-1141 | 2005-06-16 |
| 1760621601 | Halim Antonio Ina Jr. | Dentist | 544 White Pond Dr, Suite D, Akron, OH 44320-1141 | 2009-02-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538628425 | Adrian Hooks | Home Health | 1300 West Market, Akron, OH 44320 | 2019-03-19 |
| 1962979609 | Jeanean Marie Clark | Case Manager/Care Coordinator | 825 Mercer Avenue, Akron, OH 44320 | 2018-10-31 |
| 1205320108 | Dwynica S Pendleton | Case Manager/Care Coordinator | 1176 Cordova Ave, Akron, OH 44320 | 2018-06-15 |
| 1497247902 | Baron Kenley Rogers | Student in an Organized Health Care Education/Training Program | Minority Behavioral Health Group, 1293 Copley Rd, Akron, OH 44320 | 2018-05-31 |
| 1750871513 | Maria Hardgrove | Social Worker | 2279 Romig Rd., Akron, OH 44320 | 2018-05-16 |
| 1043728652 | Asya Michelle Tipton | Nurse's Aide | 852 Delia, Akron, OH 44320 | 2018-01-17 |
| 1669990487 | Rhonda Renee Riddle | Community Health Worker | 308 S Portage Path, Akron, OH 44320 | 2017-08-31 |
| 1467992487 | Rodney Sheppard | Nurse's Aide | 471 White Pond Drive, Apt 604, Akron, OH 44320 | 2017-02-24 |
| 1033571740 | Bernard Taylor | Counselor | 2180 Romig Rd, Akron, OH 44320 | 2016-03-22 |
| 1093173718 | Brittany Stephens | Nurse's Aide | 1207 Greenwood Ave, Akron, OH 44320 | 2016-02-09 |
| Find all providers in zip 44320 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134778673 | Elizabeth Czopp | Specialist | 11536 Clarence Center Rd, Akron, NY 14001-9746 | 2019-09-07 |
| 1992201800 | Reniece Larue Tatum | Specialist | 404 Storer Ave, Akron, OH 44320-2013 | 2018-04-01 |
| 1699121442 | Lindsay Nirschel | Specialist | 13029 Dorsch Rd, Akron, NY 14001-9226 | 2016-05-11 |
| 1003272253 | Jamie Dee Wagner | Specialist | 89 Westgay Dr Apt B, Akron, OH 44313-7364 | 2016-01-04 |
| 1225405418 | Herbert Earl Croft | Specialist | 1451 N Hametown Rd, Akron, OH 44333-1055 | 2015-08-24 |
| 1487043154 | Forever Ink | Specialist | 3257 Robins Trce, Akron, OH 44319-3885 | 2015-01-17 |
| 1205175486 | Amber Nacole Brandt | Specialist | 516 Canton Rd, Akron, OH 44312-2530 | 2013-02-07 |
| 1508117839 | April Frohwerk | Specialist | 1880 Canton Rd, Akron, OH 44312-4074 | 2012-09-26 |
| 1457601338 | Wendy Ann Yaeger | Specialist | 66 Eckerson Ave, Akron, NY 14001-1120 | 2012-09-18 |
| 1174884027 | Michelle Lynne Young | Specialist | 13275 Dorsch Rd, Akron, NY 14001-9575 | 2012-06-06 |
| Find all providers in AKRON | ||||
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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.