CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC (NPI# 1417193129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417193129 |
| Entity Type | Organization |
| Organization Name | CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC |
| Other Organization Name | CRYSTAL CLINIC ORTHOPAEDIC CENTER - NORTH COAST |
| Practice Address |
20 Olive St Suite 200 Akron OH 44310-3165 |
| Mailing Address |
Po Box 72434 Cleveland OH 44192-0002 |
| Practice Telephone | 3305354415 |
| Practice Fax Number | 3303750704 |
| Mailing Telephone | 3306687428 |
| Mailing Fax Number | 3306662709 |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2013-03-22 |
| Authorized Official Name | RONALD R SUNTKEN (PRESIDENT) |
| Authorized Official Telephone | 3306704255 |
| 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 - North Coast | 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 |
20 OLIVE ST SUITE 200 |
| City | AKRON |
| State | OH |
| Zip Code | 44310-3165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649259953 | Richard Brower | Orthopaedic Surgery | 20 Olive St, Suite 200, Akron, OH 44310-3165 | 2006-01-13 |
| 1144790908 | Ashley Nicole Beverlin | Case Manager/Care Coordinator | 20 Olive St, Akron, OH 44310-3165 | 2018-12-04 |
| 1003310749 | Jacob Richards | Case Manager/Care Coordinator | 20 Olive St, Akron, OH 44310-3165 | 2018-03-19 |
| 1609379080 | Cynthia Jo Ritch | Case Manager/Care Coordinator | 20 Olive St, Akron, OH 44310-3165 | 2018-03-13 |
| 1598268955 | Rup Narayan Dhungana | Case Manager/Care Coordinator | 20 Olive St, Akron, OH 44310-3165 | 2018-03-13 |
| 1821591223 | Mindy Elaine Cox | Case Manager/Care Coordinator | 20 Olive St, Akron, OH 44310-3165 | 2018-03-12 |
| 1386088094 | Natalie M Mcgreal | Physician Assistant | 20 Olive St, Ste. 201, Akron, OH 44310-3165 | 2013-04-24 |
| 1730405614 | Coleman Professional Services | Counselor | 20 Olive St, Suite 405, Akron, OH 44310-3165 | 2010-04-16 |
| 1821202995 | Summit Rehabilitation Medicine, Inc. | Physical Medicine & Rehabilitation | 20 Olive St, Suite #200, Akron, OH 44310-3165 | 2007-05-09 |
| 1497818512 | Scott D. Weiner, Md, Inc. | Orthopaedic Surgery | 20 Olive St, Ste. 201, Akron, OH 44310-3165 | 2006-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518584085 | Michelle Lynn Lanning | Peer Specialist | 213 E. Glenwood Ave., Akron, OH 44310 | 2020-07-01 |
| 1376172759 | Blake Schach | Student in an Organized Health Care Education/Training Program | Orthopedic Clinic 444 N. Main St., 3rd Floor, Akron, OH 44310 | 2020-04-07 |
| 1528558137 | Nortisha Meco Brown-nelson | Social Worker | 1187 Linden Ave, Akron, OH 44310 | 2018-05-18 |
| 1114429123 | Sharon Denise Shell | Home Health Aide | 1307 Brownstone Ave, Akron, OH 44310 | 2018-03-06 |
| 1467961631 | A Door of Hope Center | Early Intervention Provider Agency | 311 Montrose Ave., Akron, OH 44310 | 2017-09-20 |
| 1750809570 | Laura Stover | Counselor | 445 N Main Street, Akron, OH 44310 | 2017-08-31 |
| 1083131817 | Heather Lynne Barger | Counselor | 15 Frederick Avenue, Akron, OH 44310 | 2017-08-23 |
| 1659898377 | Heidi Irene Sirotzki | Peer Specialist | 215 E. Glenwood Ave., Akron, OH 44310 | 2017-08-23 |
| 1013432939 | Veniece Harris | Licensed Practical Nurse | 1469 Alphada Ave, Apt D5, Akron, OH 44310 | 2017-08-11 |
| 1417493289 | Marcella Brooks | Counselor | 445 North Main Street, Akron, OH 44310 | 2017-01-17 |
| Find all providers in zip 44310 | ||||
| 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 |
| 1265678882 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 3975 Embassy Pkwy, Akron, OH 44333-8320 | 2009-01-02 |
| 1922244623 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 3925 Embassy Pkwy, Akron, OH 44333-1782 | 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 |
| 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.