| Akron Digestive Disease Consultants, Inc | |
|
570 White Pond Dr Suite 100 Akron OH 44320-4205 | |
| (330) 869-0124 | |
| (330) 869-2852 |
| Full Name | Akron Digestive Disease Consultants, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 570 White Pond Dr, Akron, Ohio |
| Authorized Official Name and Position | Season Mccary (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 3308690124 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Akron Digestive Disease Consultants, Inc 570 White Pond Dr Suite 100 Akron OH 44320-4205 Ph: (330) 869-0124 | Akron Digestive Disease Consultants, Inc 570 White Pond Dr Suite 100 Akron OH 44320-4205 Ph: (330) 869-0124 |
| NPI Number | 1366433351 |
|---|---|
| Provider Enumeration Date | 10/31/2005 |
| Last Update Date | 07/10/2023 |
| Medicare PECOS PAC ID | 8224135991 |
|---|---|
| Medicare Enrollment ID | O20070515000424 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366433351 | NPI | - | NPPES |
| CA6109 | Other | OH | RAILROAD MEDICARE |
| 001707840 | Other | OH | MOUNTAIN STATE BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | (* (Not Available)) | Secondary |
| Provider Name | Jaxon R Cyphert |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1558319475 PECOS PAC ID: 8628980752 Enrollment ID: I20031105000558 |
| Provider Name | Corrine W Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1376633461 PECOS PAC ID: 8325031701 Enrollment ID: I20040405000019 |
| Provider Name | James Robert Cox |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1770699431 PECOS PAC ID: 4688663081 Enrollment ID: I20040511000318 |
| Provider Name | Nicholas A Fortunato |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1174571640 PECOS PAC ID: 4385697333 Enrollment ID: I20050302000153 |
| Provider Name | Marie C Wagner |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477643161 PECOS PAC ID: 2264460849 Enrollment ID: I20050804000004 |
| Provider Name | Brian R Storad |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1427147131 PECOS PAC ID: 3870590086 Enrollment ID: I20061101000202 |
| Provider Name | William F Shaheen |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164439949 PECOS PAC ID: 1759481252 Enrollment ID: I20070712000813 |
| Provider Name | Harry Kellermier |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1871750653 PECOS PAC ID: 3779655303 Enrollment ID: I20080626000433 |
| Provider Name | Pars Ravichandran |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1245229889 PECOS PAC ID: 0042386898 Enrollment ID: I20080903000125 |
| Provider Name | Bonnie L Mohler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972761278 PECOS PAC ID: 6901953405 Enrollment ID: I20090421000456 |
| Provider Name | Jamie Daniel Novak |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1780837708 PECOS PAC ID: 3375691652 Enrollment ID: I20090424000035 |
| Provider Name | Costas H Kefalas |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1073504056 PECOS PAC ID: 2769589431 Enrollment ID: I20100708000405 |
| Provider Name | Joshua Weaver |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1194982389 PECOS PAC ID: 6406980598 Enrollment ID: I20100811000323 |
| Provider Name | Edward Joseph Esber |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1356332332 PECOS PAC ID: 4486751153 Enrollment ID: I20101014000450 |
| Provider Name | Deborah L Maschmeier |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932158672 PECOS PAC ID: 9830363092 Enrollment ID: I20111128000292 |
| Provider Name | Kimberly Mygrants |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1720330384 PECOS PAC ID: 8527210236 Enrollment ID: I20121204000048 |
| Provider Name | Ganesh R Veerappan |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1780650895 PECOS PAC ID: 2466629464 Enrollment ID: I20130701000233 |
| Provider Name | Nicole M King |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144653312 PECOS PAC ID: 2264666353 Enrollment ID: I20131002000725 |
| Provider Name | Edward J Sveda |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1528493145 PECOS PAC ID: 3173758471 Enrollment ID: I20131022001114 |
| Provider Name | Christopher M Gemmell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1972903573 PECOS PAC ID: 3072733914 Enrollment ID: I20140929000235 |
| Provider Name | Alison M Dorsey |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1104308261 PECOS PAC ID: 3678827680 Enrollment ID: I20181109002386 |
| Provider Name | Alison M Stephan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1477162709 PECOS PAC ID: 9335568153 Enrollment ID: I20200929000806 |
| Provider Name | Erin Schellenberger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063027076 PECOS PAC ID: 8820418494 Enrollment ID: I20201020002413 |
| Provider Name | David Mossad |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1821484692 PECOS PAC ID: 6709190531 Enrollment ID: I20210520002634 |
| Provider Name | Jennifer E Anthony |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811565286 PECOS PAC ID: 1759786122 Enrollment ID: I20210823003088 |
| Provider Name | Erin M Crane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861165441 PECOS PAC ID: 5799181673 Enrollment ID: I20210831003184 |
| Provider Name | Luke Holder |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1295268027 PECOS PAC ID: 7810399102 Enrollment ID: I20220422000712 |
| Provider Name | Courtney Lin Ray-marty |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1861106247 PECOS PAC ID: 1759753262 Enrollment ID: I20230209002377 |
| Provider Name | Jacquelyn Gayle Bolwell |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1194110973 PECOS PAC ID: 9830437227 Enrollment ID: I20240403003180 |
| Provider Name | Jamie N Terrell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1932358090 PECOS PAC ID: 0840355327 Enrollment ID: I20250509000518 |
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