Provider Demographics
NPI:1396863353
Name:BROWN, TODD A (MD)
Entity Type:Individual
Prefix:DR
First Name:TODD
Middle Name:A
Last Name:BROWN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 PERKINS SQ
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44308-1063
Mailing Address - Country:US
Mailing Address - Phone:330-543-8823
Mailing Address - Fax:
Practice Address - Street 1:AKRON CHILDREN'S HOSPITAL ANESTHESIA DEPARTMENT
Practice Address - Street 2:ONE PERKINS SQUARE
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44308-1062
Practice Address - Country:US
Practice Address - Phone:330-543-8823
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2013-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35067841207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHBR0779144Medicare ID - Type Unspecified
OHF99409Medicare UPIN