NPIMap

Organization Active NPI

Partners Physician Group

Doing business as Cardiac, Thoracic & Vascular Specialists

  • Vascular Surgery Physician
  • Wooster, OH
National Provider Identifier
1265700520
Registry record updated Jun 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
PARTNERS PHYSICIAN GROUP
Doing business as
Cardiac, Thoracic & Vascular Specialists
Practice address
1761 Beall Ave
Wooster, OH 44691-2342
Phone
(330) 344-1400
Fax
(330) 344-0112
NPI assigned
Dec 1, 2011
Last updated
Jun 22, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2015

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

Authorized official

Name
Kenneth Braman, DONPI 1649250374
Title
Chief Medical Officer
Phone
(330) 665-8302

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X OH Primary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X OH

Addresses

Primary practice location

1761 Beall Ave
Wooster, OH 44691-2342

Mailing address

1761 Beall Ave
Wooster, OH 44691-2342
Phone (330) 344-1400

Other identifiers 3

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

Other names 1

  • Cardiac, Thoracic & Vascular Specialists 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

Practitioners & affiliated clinicians

Practitioners 128

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 128

NPI Registry JSON

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

{
    "created_epoch": "1322697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434931200000",
    "number": "1265700520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1761 BEALL AVE",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912342",
            "telephone_number": "330-344-1400",
            "fax_number": "330-344-0112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1761 BEALL AVE",
            "city": "WOOSTER",
            "state": "OH",
            "postal_code": "446912342",
            "telephone_number": "330-344-1400",
            "fax_number": "330-344-0112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS PHYSICIAN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-01",
        "last_updated": "2015-06-22",
        "status": "A",
        "authorized_official_last_name": "BRAMAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CHIEF MEDICAL OFFICER",
        "authorized_official_telephone_number": "330-665-8302",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "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 MEDICARE GROUP #",
            "identifier": "9338635",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP MEDICAID GROUP #",
            "identifier": "2551671",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardiac, Thoracic & Vascular Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wooster, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; 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.