Provider Demographics
NPI:1649271222
Name:AKERS, MATTHEW M (MD)
Entity type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:M
Last Name:AKERS
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 1:2300 W ELM ST
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45805-2541
Mailing Address - Country:US
Mailing Address - Phone:419-228-8500
Mailing Address - Fax:
Practice Address - Street 1:2300 WEST ELM ST
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45805-2530
Practice Address - Country:US
Practice Address - Phone:419-228-8500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2023-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-072442174400000X, 2086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2083936Medicaid
OH35-072442OtherMEDICAL LICENSE #
OH31-1671524OtherFEDERAL TAX ID NUMBER
OHG614267Medicare UPIN
OH31-1671524OtherFEDERAL TAX ID NUMBER
OH2083936Medicaid