Provider Demographics
NPI:1790881019
Name:HITE, AMY ANN (MD)
Entity Type:Individual
Prefix:DR
First Name:AMY
Middle Name:ANN
Last Name:HITE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 ARCH ST.
Mailing Address - Street 2:STE. 104
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44304-1430
Mailing Address - Country:US
Mailing Address - Phone:330-375-4851
Mailing Address - Fax:330-375-4228
Practice Address - Street 1:75 ARCH ST.
Practice Address - Street 2:STE. 104
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304-1430
Practice Address - Country:US
Practice Address - Phone:330-375-4851
Practice Address - Fax:330-375-4228
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2011-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35081601207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2374934Medicaid
OH4093924OtherMEDICARE ID
OHH71798Medicare UPIN