Active NPI
Partners Physician Group
- Internal Medicine Physician
- Akron, OH
National Provider Identifier
1740479484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- PARTNERS PHYSICIAN GROUP
- Practice address
- 611 W Turkeyfoot Lake Rd
Akron, OH 44319-3473 - Phone
- (330) 344-1205
- NPI assigned
- Oct 18, 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
- Daniel Taillard
- Title
- Director Finance Business Operation
- Phone
- (330) 344-4028
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | OH | Primary |
Addresses
Primary practice location
611 W Turkeyfoot Lake Rd
Akron, OH 44319-3473
Mailing address
3428 W Market St
#103
Fairlawn, OH 44333-3339
Phone (330) 344-3583
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031202000183 | OH | Part B Supplier - Clinic/Group Practice | 4183529340 |
Receives reassigned benefits from 724 practitioners 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
Other NPIs on the same Medicare enrollment 7
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Public Health & General Preventive Medicine Physician
- Akron, OH
- NPI 1164814414
O20031202000183
-
- Internal Medicine Physician
- Cuyahoga Falls, OH
- NPI 1578754198
O20031202000183
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1192665600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192665600000",
"number": "1740479484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3428 W MARKET ST",
"address_2": "#103",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443333339",
"telephone_number": "330-344-3583",
"fax_number": "330-869-2074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 W TURKEYFOOT LAKE RD",
"city": "AKRON",
"state": "OH",
"postal_code": "443193473",
"telephone_number": "330-344-1205"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARTNERS PHYSICIAN GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-18",
"last_updated": "2007-10-18",
"status": "A",
"authorized_official_last_name": "TAILLARD",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "DIRECTOR FINANCE BUSINESS OPERATION",
"authorized_official_telephone_number": "330-344-4028"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Oct 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.