Basic Information
| Provider Information | |||||||||
| NPI: | 1316938509 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KNAPIK | ||||||||
| FirstName: | GREGORY | ||||||||
| MiddleName: | PETER | ||||||||
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| Credential: | NP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 797 IROQUOIS TRL | ||||||||
| Address2: | |||||||||
| City: | MACEDONIA | ||||||||
| State: | OH | ||||||||
| PostalCode: | 440561264 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3304670009 | ||||||||
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| Practice Location | |||||||||
| Address1: | 209 CARROLL ST. | ||||||||
| Address2: | MARY GLADWIN HALL ROOM 116 | ||||||||
| City: | AKRON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 443250001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3309726968 | ||||||||
| FaxNumber: | 3309725883 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/04/2005 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2200X | RN 190418 | OH | X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health | 364SP0809X | RN 190418 | OH | X | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Psych/Mental Health, Adult |
No ID Information.