NPIMap

Organization Active NPI

Partners Physician Group

Doing business as Northeast Ohio Orthopaedic Associates

  • Orthopaedic Foot and Ankle Surgery Physician
  • Mogadore, OH
National Provider Identifier
1033476908
Registry record updated Apr 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
Legal business name
PARTNERS PHYSICIAN GROUP
Doing business as
Northeast Ohio Orthopaedic Associates
Practice address
754 S Cleveland Ave
#301
Mogadore, OH 44260-2210
Phone
(330) 344-1980
Fax
(330) 344-6038
NPI assigned
Apr 17, 2012
Last updated
Apr 17, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Daniel Taillard
Title
VP, Finance
Phone
(330) 344-6095

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X OH
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X OH Primary

Addresses

Primary practice location

754 S Cleveland Ave
#301
Mogadore, OH 44260-2210

Mailing address

754 S Cleveland Ave
#301
Mogadore, OH 44260-2210
Phone (330) 344-1980

Other identifiers 3

IdentifierTypeStateIssuer
9338635OtherOHPARTNERS PHYSICIAN GROUP MEDICARE #
1841239274OtherOHPARTNERS PHYSICIAN GROUP TYPE 2 NPI #
2551671OtherOHPARTNERS PHYSICIAN GROUP MEDICAID #

Other names 1

  • Northeast Ohio Orthopaedic Associates Doing business as

National Provider Directory

National Provider Directory
Tax ID family
NGH Dba Kimberly a Whit45 organizations share this tax ID, including this one

Other organizations with this tax ID 44

Organizations that report the same tax identification number in the National Provider Directory.

View all 44

Locations

754 S Cleveland Ave
#301
Mogadore, OH 44260
Phone (330) 344-1980

Practitioners & affiliated clinicians

Practitioners 123

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 123

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1334620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334620800000",
    "number": "1033476908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 S CLEVELAND AVE",
            "address_2": "#301",
            "city": "MOGADORE",
            "state": "OH",
            "postal_code": "442602210",
            "telephone_number": "330-344-1980",
            "fax_number": "330-344-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 S CLEVELAND AVE",
            "address_2": "#301",
            "city": "MOGADORE",
            "state": "OH",
            "postal_code": "442602210",
            "telephone_number": "330-344-1980",
            "fax_number": "330-344-6038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS PHYSICIAN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-17",
        "last_updated": "2012-04-17",
        "status": "A",
        "authorized_official_last_name": "TAILLARD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "VP, FINANCE",
        "authorized_official_telephone_number": "330-344-6095"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP MEDICARE #",
            "identifier": "9338635",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP TYPE 2 NPI #",
            "identifier": "1841239274",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP MEDICAID #",
            "identifier": "2551671",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Ohio Orthopaedic Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mogadore, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.