1992449912 NPI number — KARLEE SUZANNE WINDMILLER MD

Table of content: KARLEE SUZANNE WINDMILLER MD (NPI 1992449912)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992449912 NPI number — KARLEE SUZANNE WINDMILLER MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WINDMILLER
Provider First Name:
KARLEE
Provider Middle Name:
SUZANNE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
EDWARDS
Provider Other First Name:
KARLEE
Provider Other Middle Name:
SUZANNE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MD
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1992449912
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/26/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
525 E. MARKET ST
Provider Second Line Business Mailing Address:
ORTHOPAEDIC SURGERY RESIDENCY
Provider Business Mailing Address City Name:
AKRON
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44309
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
330-379-5986
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
525 E. MARKET ST
Provider Second Line Business Practice Location Address:
ORTHOPAEDIC SURGERY RESIDENCY
Provider Business Practice Location Address City Name:
AKRON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44309
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
330-379-5986
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/26/2022

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)