NPIMap

Organization Active NPI

Partners Physician Group

  • Family Medicine Physician
  • Streetsboro, OH
National Provider Identifier
1972791572
Registry record updated Oct 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34-008506 Issued in OH
Legal business name
PARTNERS PHYSICIAN GROUP
Doing business as
Denise M. Gallagher, DO
Practice address
9480 Rosemont Dr
Streetsboro, OH 44241-4569
Phone
(330) 626-5566
Fax
(330) 626-2042
NPI assigned
Oct 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2007

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 34-008506 OH Primary

Addresses

Primary practice location

9480 Rosemont Dr
Streetsboro, OH 44241-4569

Mailing address

3428 W Market St
#103
Fairlawn, OH 44333-3339
Phone (330) 344-3583

Other names 1

  • Denise M. Gallagher, DO 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": "1191888000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191888000000",
    "number": "1972791572",
    "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": "9480 ROSEMONT DR",
            "city": "STREETSBORO",
            "state": "OH",
            "postal_code": "442414569",
            "telephone_number": "330-626-5566",
            "fax_number": "330-626-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTNERS PHYSICIAN GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-09",
        "last_updated": "2007-10-09",
        "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": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34-008506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denise M. Gallagher, DO",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Streetsboro, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; 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.