Provider Demographics
NPI:1982940847
Name:THE UNIVERSITY OF AKRON
Entity Type:Organization
Organization Name:THE UNIVERSITY OF AKRON
Other - Org Name:STUDENT HEALTH SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:SR. VP/PROVOST/COO
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:SHERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-972-7593
Mailing Address - Street 1:302 BUCHTEL COMMON
Mailing Address - Street 2:STUDENT HEALTH SERVICES, SRWC, SUITE 260
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44325-1101
Mailing Address - Country:US
Mailing Address - Phone:330-972-7808
Mailing Address - Fax:330-972-8849
Practice Address - Street 1:302 BUCHTEL COMMON
Practice Address - Street 2:STUDENT HEALTH SERVICES, SRWC, SUITE 260
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44325-1101
Practice Address - Country:US
Practice Address - Phone:330-972-7808
Practice Address - Fax:330-972-8849
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-12-21
Last Update Date:2012-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty