Provider Demographics
NPI:1962588293
Name:AKRON NEONATOLOGY INC
Entity type:Organization
Organization Name:AKRON NEONATOLOGY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:GARY
Authorized Official - Last Name:BENFIELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-543-8344
Mailing Address - Street 1:300 LOCUST ST
Mailing Address - Street 2:SUITE 540
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44302-1809
Mailing Address - Country:US
Mailing Address - Phone:330-543-8348
Mailing Address - Fax:330-543-8356
Practice Address - Street 1:300 LOCUST ST
Practice Address - Street 2:SUITE 540
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44302-1809
Practice Address - Country:US
Practice Address - Phone:330-543-3848
Practice Address - Fax:330-543-8356
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0436200Medicaid