Individual
DAVID CUSTODIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
525 E MARKET ST, AKRON, OH 44304-1619
(330) 375-3369
(330) 375-6769
Mailing address
PO BOX 1649, AKRON, OH 44309-1649
(330) 864-8900
(330) 869-8924
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
35059419C
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000138484
ANTHEM
OH
05
—
0792923
—
OH
01
—
340714755EEE
SUMMACARE
OH
01
—
34177922602
MEDICAL MUTUAL OF OH 1 /2
OH
01
—
34177922603
MED MUTUAL 2 OF 2
OH
01
—
61641
UNITED HEALTHCARE
OH
01
—
930023429
RR MEDICARE
OH
Enumeration date
05/26/2006
Last updated
03/04/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us