Active NPI
Joseph Lawrence Panzner, MD
- Family Medicine Physician
- Fairlawn, OH
National Provider Identifier
1972687929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35.040862
- Practice address
- 3632 Ridgewood Rd
Fairlawn, OH 44333-3124 - Phone
- (330) 666-4158
- Fax
- (330) 668-2256
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35.040862 | OH | Primary |
Addresses
Primary practice location
3632 Ridgewood Rd
Fairlawn, OH 44333-3124
Mailing address
24701 Euclid Ave
Third Floor Billing Services
Euclid, OH 44117-1714
Phone (330) 666-4158
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0344630 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.040862 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Primary Care Practices Inc | Family Medicine | Past | Accepting new patients |
| University Primary Care Practices Inc | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba UPCP Inc
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1154375681
Family Medicine
-
dba UH North Olmsted Urgent Care
- Urgent Care Clinic/Center
- North Olmsted, OH
- NPI 1467533885
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387238400000",
"number": "1972687929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24701 EUCLID AVE",
"address_2": "THIRD FLOOR BILLING SERVICES",
"city": "EUCLID",
"state": "OH",
"postal_code": "441171714",
"telephone_number": "330-666-4158",
"fax_number": "330-668-2256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3632 RIDGEWOOD RD",
"city": "FAIRLAWN",
"state": "OH",
"postal_code": "443333124",
"telephone_number": "330-666-4158",
"fax_number": "330-668-2256"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANZNER",
"first_name": "JOSEPH",
"middle_name": "LAWRENCE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2013-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35.040862",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0344630",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
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 Dec 17, 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.