Organization
PARTNERS PHYSICIAN GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH BRAMAN MD (CHIEF MEDICAL OFFICER, PPG)
(330) 665-8302
Entity
Organization
Contact information
Practice address
225 ELYRIA ST, LODI, OH 44254-1031
(330) 344-3583
Mailing address
225 ELYRIA ST, LODI, OH 44254-1031
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
OH
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
OH
207V00000X
Obstetrics & Gynecology Physician
—
OH
208600000X
Surgery Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841239274
PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
OH
01
—
2551671
PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH
01
—
9338635
PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH
Enumeration date
06/05/2006
Last updated
02/13/2014
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up