Organization Active NPI

Partners Physician Group

Doing business as Green Family Medicine

  • Family Medicine Physician
  • Akron, OH
National Provider Identifier
1306885793
Registry record updated Jan 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
PARTNERS PHYSICIAN GROUP
Doing business as
Green Family Medicine
Practice address
3593 S Arlington Rd
Akron, OH 44312-5271
Phone
(330) 896-0281
Fax
(330) 896-2901
NPI assigned
Jun 4, 2006
Last updated
Jan 22, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2009

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

Authorized official

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

3593 S Arlington Rd
Akron, OH 44312-5271

Mailing address

3593 S Arlington Rd
Akron, OH 44312-5271
Phone (330) 896-0281

Other identifiers 3

IdentifierTypeStateIssuer
2395644MedicaidOH
2551671OtherOHMEDICAID GROUP # (NEW)
1841239274OtherOHMEDICARE NPI GROUP NUMBER

Other names 1

  • Green Family Medicine Doing business as

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

3593 S Arlington Rd
Green, OH 44312
Phone (330) 896-0281

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1232582400000",
    "number": "1306885793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3593 S ARLINGTON RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125271",
            "telephone_number": "330-896-0281",
            "fax_number": "330-869-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3593 S ARLINGTON RD",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443125271",
            "telephone_number": "330-896-0281",
            "fax_number": "330-896-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS PHYSICIAN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-04",
        "last_updated": "2009-01-22",
        "status": "A",
        "authorized_official_last_name": "TAILLARD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "DIRECTOR, FINANCE & OPERATIONS",
        "authorized_official_telephone_number": "330-344-6095"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2395644",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP #  (NEW)",
            "identifier": "2551671",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI GROUP NUMBER",
            "identifier": "1841239274",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Green Family Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Akron, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2009; 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.