Basic Information
| Provider Information | |||||||||
| NPI: | 1366789687 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | THE UNIVERSITY OF AKRON | ||||||||
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| OtherOrganizationName: | THE NURSING CENTER FOR COMMUNITY HEALTH | ||||||||
| OtherOrganizationType: | 5 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 302 BUCHTEL COMMON | ||||||||
| Address2: | THE NURSING CENTER FOR COMMUNITY HEALTH, MGH 116 | ||||||||
| City: | AKRON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 443253701 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3309726968 | ||||||||
| FaxNumber: | 3309725883 | ||||||||
| Practice Location | |||||||||
| Address1: | 302 BUCHTEL COMMON | ||||||||
| Address2: | THE NURSING CENTER FOR COMMUNITY HEALTH, MGH 116 | ||||||||
| City: | AKRON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 443253701 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3309726968 | ||||||||
| FaxNumber: | 3309725883 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/07/2013 | ||||||||
| LastUpdateDate: | 01/07/2013 | ||||||||
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| ProviderGenderCode: | |||||||||
| AuthorizedOfficialLastName: | SHERMAN | ||||||||
| AuthorizedOfficialFirstName: | WILLIAM | ||||||||
| AuthorizedOfficialMiddleName: | MICHAEL | ||||||||
| AuthorizedOfficialTitleorPosition: | SR. VP/PROVOST/COO | ||||||||
| AuthorizedOfficialTelephone: | 3309727593 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | N | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine | 364S00000X | N | 193200000X MULTI-SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | 363L00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.