Provider Demographics
NPI:1649208679
Name:AKRON SURGICAL ASSOCIATES, LLC
Entity Type:Organization
Organization Name:AKRON SURGICAL ASSOCIATES, LLC
Other - Org Name:THE SURGERY CENTER AT AKRON GENERAL HEALTH & WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR AND TREASURER
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIGO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-344-6652
Mailing Address - Street 1:4127 MEDINA RD
Mailing Address - Street 2:STE 104
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44333-2490
Mailing Address - Country:US
Mailing Address - Phone:330-665-8120
Mailing Address - Fax:330-665-8529
Practice Address - Street 1:4127 MEDINA RD
Practice Address - Street 2:STE 104
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44333-2490
Practice Address - Country:US
Practice Address - Phone:330-665-8120
Practice Address - Fax:330-665-8529
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2401734Medicaid
OH2401734Medicaid