Raed Azzam (NPI# 1871743955, PAC ID# 8325262223) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is NEUROLOGY.
Nation Provider ID (NPI) | 1871743955 |
PAC ID by PECOS | 8325262223 |
Professional Enrollment ID | I20140616002227 |
Full Name | Raed Azzam |
Organization Legal Name | AKRON NEUROLOGY, INC. |
Address |
3632 Ridgewood Rd Fairlawn OH 44333-3124 |
Phone Number | 3306666266 |
Gender | M |
Graduation Year | 2006 |
Primary Specialty | NEUROLOGY |
Secondary Specialties | INTERNAL MEDICINE |
Group Practice PAC ID | 5294836524 |
Number of Group Practice Members | 8 |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
360020 | SUMMA HEALTH SYSTEM |
360027 | AKRON GENERAL MEDICAL CENTER |
Address | Phone | Organization |
---|---|---|
3632 Ridgewood Rd, Fairlawn, OH 44333-3124 | 3306666266 | AKRON NEUROLOGY, INC. |
Organization Legal Name | AKRON NEUROLOGY, INC. |
Physicians | 4 |
Name | Specialty | Organization | Address |
---|---|---|---|
William John Freiberg | Neurology | Akron Neurology, Inc. | 3632 Ridgewood Rd, Fairlawn, OH 44333-3124 |
Amanda L Staudt | Nurse Practitioner | Akron Neurology, Inc. | 3632 Ridgewood Rd, Fairlawn, OH 44333-3124 |
Leona S Cody | Nurse Practitioner | Akron Neurology, Inc. | 3632 Ridgewood Rd, Fairlawn, OH 44333-3124 |
Street Address |
3632 RIDGEWOOD RD |
City | FAIRLAWN |
State | OH |
Zip | 44333-3124 |
Name | Specialty | Organization | Address |
---|---|---|---|
William John Freiberg | Neurology | Akron Neurology, Inc. | 3632 Ridgewood Rd, Fairlawn, OH 44333-3124 |
Amanda L Staudt | Nurse Practitioner | Akron Neurology, Inc. | 3632 Ridgewood Rd, Fairlawn, OH 44333-3124 |
Leona S Cody | Nurse Practitioner | Akron Neurology, Inc. | 3632 Ridgewood Rd, Fairlawn, OH 44333-3124 |
Name | Specialty | Organization | Address |
---|---|---|---|
Sarah Beth Newey | Podiatry | 3451 Granger Rd, Akron, OH 44333-1532 | |
Ian M Gradisar | Orthopedic Surgery | Crystal Clinic, Inc. | 3975 Embassy Pkwy, Suite 102, Akron, OH 44333-1763 |
John W Dietrich | Hand Surgery | Crystal Clinic, Inc. | 3925 Embassy Pkwy, Akron, OH 44333-1763 |
Mollie O Manley | Hand Surgery | Crystal Clinic, Inc. | 3925 Embassy Pkwy, Akron, OH 44333-1763 |
Brandy Mae Mansfield | Nurse Practitioner | Crystal Clinic, Inc. | 3975 Embassy Pkwy, Suite 102, Akron, OH 44333-1763 |
Kaitlyn A Wattley | Nurse Practitioner | Crystal Clinic, Inc. | 3975 Embassy Pkwy, Suite 102, Akron, OH 44333-1763 |
Kathleen Ann Opsitnick | Nurse Practitioner | Crystal Clinic, Inc. | 3975 Embassy Pkwy, Suite 102, Akron, OH 44333-1763 |
Jeffrey S Noble | Orthopedic Surgery | Crystal Clinic, Inc. | 3975 Embassy Pkwy, Suite 102, Akron, OH 44333-1763 |
Matthew D Kay | Orthopedic Surgery | Crystal Clinic, Inc. | 3975 Embassy Pkwy, Suite 102, Akron, OH 44333-1763 |
Scot D Miller | Orthopedic Surgery | Crystal Clinic, Inc. | 3925 Embassy Pkwy, Akron, OH 44333-1763 |
Find all physicians in zip 44333 |
City | FAIRLAWN |
Zip Code | 44333 |
Specialty | NEUROLOGY |
City + Specialty | FAIRLAWN + NEUROLOGY |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.