Provider Demographics
NPI:1467887687
Name:THE UNIVERSITY OF AKRON
Entity Type:Organization
Organization Name:THE UNIVERSITY OF AKRON
Other - Org Name:ATHLETICS - SPORTS MEDICINE
Other - Org Type:Other Name
Authorized Official - Title/Position:SR. VP/PROVOST/COO
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:M
Authorized Official - Last Name:SHERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-972-7593
Mailing Address - Street 1:302 BUCHTEL COMMON
Mailing Address - Street 2:ATHLETICS - SPORTS MEDICINE, STILES FIELD HOUSE
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44325-6302
Mailing Address - Country:US
Mailing Address - Phone:330-972-7913
Mailing Address - Fax:330-972-6836
Practice Address - Street 1:289 S UNION ST
Practice Address - Street 2:ATHLETICS - SPORTS MEDICINE, STILES FIELD HOUSE
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44325-6302
Practice Address - Country:US
Practice Address - Phone:330-972-7913
Practice Address - Fax:330-972-6836
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-06
Last Update Date:2013-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080S0010XAllopathic & Osteopathic PhysiciansPediatricsSports MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic TrainerGroup - Multi-Specialty