NPIMap

Organization Active NPI

Partners Physician Group

Doing business as Akron General Portage Hills Family Medicine

  • Family Medicine Physician
  • Mogadore, OH
National Provider Identifier
1083864144
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PARTNERS PHYSICIAN GROUP
Doing business as
Akron General Portage Hills Family Medicine
Practice address
754 S Cleveland Ave
Mogadore, OH 44260-2210
Phone
(330) 628-2686
Fax
(330) 628-0828
NPI assigned
Sep 25, 2008
Last updated
Jul 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OH Primary

Addresses

Primary practice location

754 S Cleveland Ave
Mogadore, OH 44260-2210

Mailing address

754 S Cleveland Ave
Mogadore, OH 44260-2210
Phone (330) 628-2686

Other identifiers 3

IdentifierTypeStateIssuer
9338635OtherOHMEDICARE GROUP #
2551671OtherOHMEDICAID GROUP #
1841239274OtherOHMEDICARE GROUP NPI #

Other names 1

  • Akron General Portage Hills Family Medicine Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Neteork Health45 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
Mogadore, OH 44260
Phone (330) 628-2686

NPI Registry JSON

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309478400000",
    "number": "1083864144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "754 S CLEVELAND AVE",
            "city": "MOGADORE",
            "state": "OH",
            "postal_code": "442602210",
            "telephone_number": "330-628-2686",
            "fax_number": "330-628-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "754 S CLEVELAND AVE",
            "city": "MOGADORE",
            "state": "OH",
            "postal_code": "442602210",
            "telephone_number": "330-628-2686",
            "fax_number": "330-628-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS PHYSICIAN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-25",
        "last_updated": "2011-07-01",
        "status": "A",
        "authorized_official_last_name": "TAILLARD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "DIRECTOR, FINANCE",
        "authorized_official_telephone_number": "330-344-6095"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "9338635",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP #",
            "identifier": "2551671",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NPI #",
            "identifier": "1841239274",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Akron General Portage Hills Family Medicine",
            "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 Jul 1, 2011; 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.