Provider Demographics
NPI:1750500377
Name:AKRON PODIATRY ASSOC. INC
Entity Type:Organization
Organization Name:AKRON PODIATRY ASSOC. INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:L
Authorized Official - Last Name:STONE
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:330-867-3376
Mailing Address - Street 1:3090 W MARKET ST
Mailing Address - Street 2:SUITE 112
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-3608
Mailing Address - Country:US
Mailing Address - Phone:330-867-3376
Mailing Address - Fax:330-867-3377
Practice Address - Street 1:3090 W MARKET ST
Practice Address - Street 2:SUITE 112
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-3608
Practice Address - Country:US
Practice Address - Phone:330-867-3376
Practice Address - Fax:330-867-3377
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2009-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36 003271213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2346554Medicaid
OH9912431Medicare PIN
OH5526360001Medicare NSC
OHDA3592Medicare PIN
OH2346554Medicaid