NPIMap

Organization Active NPI

Partners Physician Group

  • Internal Medicine Physician
  • Cuyahoga Falls, OH
National Provider Identifier
1922201771
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-039773 Issued in OH
Legal business name
PARTNERS PHYSICIAN GROUP
Practice address
802 Graham Rd
Cuyahoga Falls, OH 44221-1049
Phone
(330) 929-4221
Fax
(330) 929-7517
NPI assigned
Jun 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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) 344-6095

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 35-039773 OH Primary

Addresses

Primary practice location

802 Graham Rd
Cuyahoga Falls, OH 44221-1049

Mailing address

4125 Medina Rd
Agp Administrative Services
Akron, OH 44333-2483
Phone (330) 665-8224

Other names 1

  • T. Kenneth Krutky, MD 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

NPI Registry JSON

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1922201771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 MEDINA RD",
            "address_2": "AGP ADMINISTRATIVE SERVICES",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443332483",
            "telephone_number": "330-665-8224",
            "fax_number": "330-665-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 GRAHAM RD",
            "city": "CUYAHOGA FALLS",
            "state": "OH",
            "postal_code": "442211049",
            "telephone_number": "330-929-4221",
            "fax_number": "330-929-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS PHYSICIAN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2020-08-22",
        "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": "330-344-6095"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-039773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "T. Kenneth Krutky, MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cuyahoga Falls, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.