CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC (NPI# 1558922476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558922476 |
| Entity Type | Organization |
| Organization Name | CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC |
| Practice Address |
1 Eagle Valley Ct Ste 101 Broadview Hts OH 44147-2982 |
| Mailing Address |
Po Box 72434 Cleveland OH 44192-0002 |
| Practice Telephone | 3306684040 |
| Practice Fax Number | 3306684078 |
| Mailing Telephone | 3306684040 |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2020-01-13 |
| Authorized Official Name | 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 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 |
1 EAGLE VALLEY CT STE 101 |
| City | BROADVIEW HTS |
| State | OH |
| Zip Code | 44147-2982 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255980827 | Alexandra Pittaway | Technician | 8425 Cherry Hill Lane, Broadview Heights, OH 44147 | 2019-09-06 |
| 1326601733 | Matthew Kubalski | Physical Therapist | 7000 Town Centre Drive, Suite 400, Broadview Heights, OH 44147 | 2019-04-22 |
| 1477027860 | Tera Chmura | Behavioral Analyst | 3681 Braemar Dr, Broadview Heights, OH 44147 | 2019-01-18 |
| 1104302520 | David Huang | General Practice | 2828 Lydia Dr, Broadview Hts, OH 44147 | 2018-07-18 |
| 1558536813 | Christmas Home Health, LLC | Home Health | 2104 Stoney Run Circle, Broadview Hts., OH 44147 | 2008-04-28 |
| 1609057124 | Debra L Klein | Physician Assistant | One Eagle Valley Court, Broadview Hts, OH 44147 | 2007-11-27 |
| 1114110764 | Rosemarie Theresa Santiago | Licensed Practical Nurse | 9622 Amberwood Ct, Broadview Hts, OH 44147 | 2007-08-27 |
| 1972724615 | Donna Rowan Culley | Speech-Language Pathologist | 3505 East Royalton Road, Broadview Heights, OH 44147 | 2007-05-01 |
| 1437180247 | Southwest Endodontics & Periodontics | Dentist | 1000 W Wallings Rd, Suite B Southwest Endo & Perio Inc, Broadview Heights, OH 44147 | 2006-07-06 |
| 1457834871 | Julie Ann Pinter | Speech-Language Pathologist | 3505 East Royalton Road, Suite 221, Broadview Heights, OH 44147 | 2018-09-11 |
| Find all providers in zip 44147 | ||||
| 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 |
| 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 |
| 1619288099 | Osumc James Cancer Hosptial | Special Hospital | 660 Ackerman Rd Fl 5, Columbus, OH 43202-4500 | 2010-06-30 |
| Find all providers with the same taxonomy | ||||
| City | BROADVIEW HTS |
| Zip Code | 44147 |
Please comment or provide details below to improve the information on CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC.
| 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.