Gradisar, Ian Martin

Gradisar, Ian Martin is an sole proprietor health care provider with primary practice located at 3975 Embassy Pkwy , Akron OH 44333-8320. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Gradisar, Ian Martin can be contacted via phone (330) 668-4040.

Contact Information

Primary practice address
3975 Embassy Pkwy Akron OH 44333-8320
Phone: (330) 668-4040
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 35.089900 Ohio
Allopathic & Osteopathic Physicians / Adult Reconstructive Orthopaedic Surgery 207XS0114X 35089900 Ohio

Profile Details

NPI number 1053530311
LBN Legal business name Gradisar, Ian Martin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2007
Last updated May 18th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1053530311 NPPES
Ohio MEDICAID 2965206

Popular Providers