Provider Demographics
NPI:1740230440
Name:PAPOURAS, WILLIAM C (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:C
Last Name:PAPOURAS
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 AKRON GENERAL AVE
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44307-2432
Mailing Address - Country:US
Mailing Address - Phone:330-344-7200
Mailing Address - Fax:330-344-7290
Practice Address - Street 1:1 AKRON GENERAL AVE
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44307-2432
Practice Address - Country:US
Practice Address - Phone:330-344-7200
Practice Address - Fax:330-344-7290
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2015-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-073241208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2551671OtherPARTNERS PHYSICIAN GROUP MEDICAID #
OH9338635OtherPARTNERS PHYSICIAN GROUP MEDICARE #
OH2243647Medicaid
OH4279521OtherMEDICARE PTAN FOR ACUTE CARE SURGERY SERVICE AT AKRON GENERAL
OH1376779702OtherACUTE CARE SURGERY SERVICE TYPE 2 NPI #
OH9382831OtherACUTE CARE SURGERY SERVICE MEDICARE GROUP PTAN
OH0062142Medicaid
OH1841239274OtherPARTNERS PHYSICIAN GROUP TYPE 2 NPI
OH0062142Medicaid
OHH111080Medicare PIN