Provider Demographics
NPI:1437945292
Name:CUSH, CHARLES THOMAS
Entity type:Individual
Prefix:
First Name:CHARLES
Middle Name:THOMAS
Last Name:CUSH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:525 E. MARKET ST.
Mailing Address - Street 2:SUMMA HEALTH/ORTHOPAEDIC SURGERY ADMIN
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44304
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:525 E. MARKET ST.
Practice Address - Street 2:SUMMA HEALTH/ORTHOPAEDIC SURGERY ADMIN
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44304
Practice Address - Country:US
Practice Address - Phone:330-379-5986
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-17
Last Update Date:2025-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program