Organization
PARTNERS PHYSICIAN GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY L LONGVILLE (CHIEF ACCOUNTING OFFICER AND CONTRO)
(216) 636-7416
Entity
Organization
Contact information
Practice address
4125 MEDINA RD, AKRON, OH 44333-2483
(330) 344-1980
Mailing address
4125 MEDINA RD, AKRON, OH 44333-2483
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
—
OH
207X00000X
Orthopaedic Surgery Physician
Primary
—
OH
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
OH
207XX0801X
Orthopaedic Trauma Physician
—
OH
213E00000X
Podiatrist
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841239274
PARTNERS PHYSICIAN GROUP NPI #
OH
01
—
2551671
PARTNERS PHYSICIAN GROUP MEDICAID #
OH
01
—
9338635
PARTNERS PHYSICIAN GROUP MEDICARE #
OH
Enumeration date
06/04/2006
Last updated
02/23/2022
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