CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC (NPI# 1992941504) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992941504 |
| Entity Type | Organization |
| Organization Name | CRYSTAL CLINIC ORTHOPAEDIC CENTER, LLC |
| Other Organization Name | CRYSTAL CLINIC ORTHOPAEDIC CENTER - GREEN |
| Practice Address |
1622 E Turkeyfoot Lake Rd Suite 200 Akron OH 44312-5277 |
| Mailing Address |
Po Box 72434 Cleveland OH 44193-0002 |
| Practice Telephone | 3306447436 |
| Practice Fax Number | 3306440167 |
| Mailing Telephone | 3306687428 |
| Mailing Fax Number | 3306662709 |
| Enumeration Date | 2009-01-02 |
| Last Update Date | 2015-12-14 |
| Authorized Official Name | RONALD R SUNTKEN (PRESIDENT) |
| Authorized Official Telephone | 3306704123 |
| 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 - Green | 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 |
1622 E TURKEYFOOT LAKE RD SUITE 200 |
| City | AKRON |
| State | OH |
| Zip Code | 44312-5277 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922072032 | Craig Bradley Polifrone | Obstetrics & Gynecology | 1622 E Turkeyfoot Lake Rd, #301, Akron, OH 44312-5277 | 2006-02-15 |
| 1578005708 | Crystal Clinic Orthopaedic Center, LLC | Special Hospital | 1622 E Turkeyfoot Lake Rd, 201, Akron, OH 44312-5277 | 2016-11-04 |
| 1063966042 | Crystal Clinic Inc | Orthopaedic Surgery | 1622 E Turkeyfoot Lake Rd, Suite 201, Akron, OH 44312-5277 | 2016-08-08 |
| 1326442815 | Britney Leigh Larimore | Nurse Practitioner | 1622 E Turkeyfoot Lake Rd, #301, Akron, OH 44312-5277 | 2014-10-13 |
| 1275978371 | Leigh S Wells | Pediatrics | 1622 E Turkeyfoot Lake Rd, Achp Green, Akron, OH 44312-5277 | 2013-05-02 |
| 1902134182 | Da'na M Langford | Advanced Practice Midwife | 1622 E Turkeyfoot Lake Rd, #301, Akron, OH 44312-5277 | 2009-11-25 |
| 1154552545 | Vickie L Klutts | Nurse Practitioner | 1622 E Turkeyfoot Lake Rd, Ste. 301, Akron, OH 44312-5277 | 2009-08-03 |
| 1598949414 | Linda L Delciappo | Midwife | 1622 E Turkeyfoot Lake Rd, #301, Akron, OH 44312-5277 | 2007-12-27 |
| 1487877452 | Heidi Anne Beining | Obstetrics & Gynecology | 1622 E Turkeyfoot Lake Rd, #301, Akron, OH 44312-5277 | 2007-04-10 |
| 1427173145 | George L Drake IIi | Obstetrics & Gynecology | 1622 E Turkeyfoot Lake Rd, #301, Akron, OH 44312-5277 | 2007-03-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114536604 | Taryn Maureen Bell | Contractor | 2727 Rapids Way, Akron, OH 44312 | 2020-07-30 |
| 1497378350 | Modern Hearing Solutions of Akron Inc. | Audiologist-Hearing Aid Fitter | 2745 S. Arlington Road #b, Akron, OH 44312 | 2020-05-26 |
| 1790349819 | Christine Lynn Cannell | Nurse Practitioner | 3593 S Arlington Road, Suite D, Akron, OH 44312 | 2019-04-24 |
| 1780122168 | Compass Counseling Services, LLC | Counselor | 1033 E Turkeyfoot Lake Rd Ste 104, Akron, OH 44312 | 2017-02-06 |
| 1306204052 | Detra Antoine | Nurse's Aide | 3095 Forest Pk Blvd, Akron, OH 44312 | 2016-02-09 |
| 1154731164 | Barbara Simione | Licensed Practical Nurse | 500 James Avenue, Akron, OH 44312 | 2014-04-29 |
| 1891099479 | Maxwell Medical Supplies and Healthcare | Durable Medical Equipment & Medical Supplies | 1474 Manchester Road, Akron, OH 44312 | 2010-12-22 |
| 1972751204 | Rem Ohio, Inc | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 3155 Pickle Road, Akron, OH 44312 | 2008-08-28 |
| 1326233487 | Lisa Jean Foster | Nurse Practitioner | 4125 Medina Road, Suite 104, The Surgery Center, Akron, OH 44312 | 2007-09-12 |
| 1639362825 | Rachelle De Ann Taylor | Nurse's Aide | 1920 N Garden Ct, Apt 1b, Akron, OH 44312 | 2007-08-22 |
| Find all providers in zip 44312 | ||||
| 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 |
| 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 |
| 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 |
| Find all providers with the same taxonomy | ||||
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.