Provider Demographics
NPI:1366636912
Name:HART-SPICER, CHERIE RENEE (MD)
Entity Type:Individual
Prefix:
First Name:CHERIE
Middle Name:RENEE
Last Name:HART-SPICER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHERIE
Other - Middle Name:RENEE
Other - Last Name:HART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:525 E MARKET ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44304-1619
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:330-375-4874
Practice Address - Street 1:155 5TH ST NE
Practice Address - Street 2:
Practice Address - City:BARBERTON
Practice Address - State:OH
Practice Address - Zip Code:44203-3332
Practice Address - Country:US
Practice Address - Phone:330-615-3966
Practice Address - Fax:330-615-3985
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-28
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.092892207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology