CRYSTAL CLINIC INC
NPI 1063966042
Orthopaedic Surgery - Sports Medicine in Akron, OH
NPI Status: Active since August 08, 2016
Contact Information
1622 E TURKEYFOOT LAKE RD
SUITE 201
AKRON, OH
ZIP 44312
Phone: (330) 776-4444
Fax: (330) 776-4449
- Organization
- Orthopaedic Surgery
- Sports Medicine
- CLIA Number: 36D1092757
- CLIA Cert. Type: Hospital
- CLIA Exp. Date: 10-25-2026
About CRYSTAL CLINIC INC
This page provides the complete NPI Profile along with additional information for Crystal Clinic Inc, a provider established in Akron, Ohio operating as a Orthopaedic Surgery, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1063966042 assigned on August 2016. The practitioner's primary taxonomy code is 207XX0005X. The provider is registered as an organization and their NPI record was last updated 10 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Ronald Suntken (Ceo)
- NPI
- 1063966042
- Provider Name
- CRYSTAL CLINIC INC
- Entity Type
- Organization
- Location Address
- 1622 E TURKEYFOOT LAKE RD SUITE 201 AKRON, OH 44312
- Location Phone
- (330) 776-4444
- Location Fax
- (330) 776-4449
- Mailing Address
- 3925 EMBASSY PKWY 250 AKRON, OH 44333
- Mailing Phone
- (330) 668-4040
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-08-2016
- Last Update Date
- 08-08-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery Sports Medicine
- Taxonomy Code
- 207XX0005X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 36D1092757
- Facility Type
- Hospital
- Certificate Effective Date
- October 26, 2024
- Certificate Expiration Date
- October 25, 2026
- Laboratory Director
- DR. STEVEN M. THOMPSON
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Crystal Clinic Inc on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1063966042, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 58 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 15 providers are registered at the same or a nearby location.
AKRON, OH 44312
AKRON, OH 44312
AKRON, OH 44312
AKRON, OH 44312
AKRON, OH 44312
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063966042, enumerated as an "organization" on August 08, 2016.
The provider is located at 1622 E TURKEYFOOT LAKE RD SUITE 201 AKRON, OH 44312 and the phone number is (330) 776-4444.
Orthopaedic Surgery with taxonomy code 207XX0005X and a focus in Sports Medicine.
