Provider Demographics
NPI:1245308055
Name:AWENDER, HERBERT SCOTT (MD)
Entity type:Individual
Prefix:
First Name:HERBERT
Middle Name:SCOTT
Last Name:AWENDER
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 1:157 W CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44307-2564
Mailing Address - Country:US
Mailing Address - Phone:330-253-3227
Mailing Address - Fax:330-253-2341
Practice Address - Street 1:157 W CEDAR ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44307-2564
Practice Address - Country:US
Practice Address - Phone:330-253-3227
Practice Address - Fax:330-253-2341
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.067024208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery