Active NPI
Ohio Permanente Medical Group
Doing business as Kaiser Permanente
- Clinical Medical Laboratory
- Akron, OH
National Provider Identifier
1104992700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- OHIO PERMANENTE MEDICAL GROUP
- Doing business as
- Kaiser Permanente
- Practice address
- 1260 Independence Ave
Akron, OH 44310 - Phone
- (216) 265-8844
- Fax
- (216) 265-8890
- NPI assigned
- Nov 27, 2006
- Last updated
- Oct 12, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Thomas Revis
- Title
- VP Cfo
- Phone
- (216) 265-8844
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
1260 Independence Ave
Akron, OH 44310
Mailing address
12301 Snow Road
Parma, OH 44130
Phone (216) 265-8844
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0211372 | Medicaid | OH |
Other names 1
- Kaiser Permanente
National Provider Directory
National Provider Directory- Tax ID family
- Kaiser Permanente
Other organizations with this tax ID 15
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Ohio Permanente Medical Group
- Clinical Medical Laboratory
- Brooklyn HTS, OH
- NPI 1548363757
-
dba Cleveland Heights Medical Offices
- Clinic/Center
- Cleveland Heights, OH
- NPI 1699833608
-
dba Kaiser Permanente
- Internal Medicine Physician
- Medina, OH
- NPI 1073882445
-
dba Kaiser Permanente
- Internal Medicine Physician
- Concord TWP, OH
- NPI 1336426279
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192147200000",
"number": "1104992700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12301 SNOW ROAD",
"city": "PARMA",
"state": "OH",
"postal_code": "44130",
"telephone_number": "216-265-8844",
"fax_number": "216-265-8890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 INDEPENDENCE AVE",
"city": "AKRON",
"state": "OH",
"postal_code": "44310",
"telephone_number": "216-265-8844",
"fax_number": "216-265-8890"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OHIO PERMANENTE MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-27",
"last_updated": "2007-10-12",
"status": "A",
"authorized_official_last_name": "REVIS",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "VP CFO",
"authorized_official_telephone_number": "216-265-8844"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0211372",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Kaiser Permanente",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Akron, OH
- Ohio Job and Family Services
- Ohio Living Communities (Ohio Living Rockynol)
- Ohio Living Communities
- Ohio Living Communities (Ohio Living Rockynol)
- Ohio Mentor, Inc
- Ohio Podiatric Physician and Surgeons Group, LLC
- Ohio Premier Home Care LLC
- Ohio Sleep Disorders Centers
- Andrew Wagner Ohliger, DO
- Marina Ojaimi, DMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.