NPIMap

Organization Active NPI

Partners Physician Group

Doing business as Summit Adult Medicine Center

  • Internal Medicine Physician
  • Fairlawn, OH
National Provider Identifier
1396759221
Registry record updated Apr 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
PARTNERS PHYSICIAN GROUP
Doing business as
Summit Adult Medicine Center
Practice address
3600 W Market St
Ste. 200
Fairlawn, OH 44333-4540
Phone
(330) 666-2700
Fax
(330) 666-0500
NPI assigned
Jul 28, 2006
Last updated
Apr 18, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2013

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

Authorized official

Name
Kenneth Braman, DO
Title
Medical Director
Phone
(330) 665-8305

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OH Primary

Addresses

Primary practice location

3600 W Market St
Ste. 200
Fairlawn, OH 44333-4540

Mailing address

3600 W Market St
Ste. 200
Fairlawn, OH 44333-4540
Phone (330) 666-2700

Other identifiers 3

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

Other names 1

  • Summit Adult Medicine Center 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

Practitioners & affiliated clinicians

Practitioners 16

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 16

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366243200000",
    "number": "1396759221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 W MARKET ST",
            "address_2": "STE. 200",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334540",
            "telephone_number": "330-666-2700",
            "fax_number": "330-666-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 W MARKET ST",
            "address_2": "STE. 200",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443334540",
            "telephone_number": "330-666-2700",
            "fax_number": "330-666-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS PHYSICIAN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2013-04-18",
        "status": "A",
        "authorized_official_last_name": "BRAMAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "330-665-8305",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS PHYSICIAN GROUP NPI #",
            "identifier": "1841239274",
            "state": "OH"
        },
        {
            "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 MEDICAID #",
            "identifier": "2551671",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summit Adult Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairlawn, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2013; 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.