Organization
PARTNERS PHYSICIAN GROUP
Active
Organization
PARTNERS PHYSICIAN GROUP
Active
Parent organization
AKRON GENERAL MEDICAL CENTER
Other names
Community Access and Wellness - HWE
Organization subpart
Yes
Provider details
NPI number
Legal business name
AKRON GENERAL MEDICAL CENTER
Authorized official
CAROL ICSMAN (VP, MANAGED CARE DEPT.)
(330) 344-1657
Entity
Organization
Contact information
Practice address
4125 MEDINA RD, AKRON, OH 44333-2483
(330) 344-4287
Mailing address
4125 MEDINA RD, AKRON, OH 44333-2483
(330) 344-4287
Taxonomy
Speciality
Code
Description
License number
State
2083P0901X
Public Health & General Preventive Medicine Physician
Primary
—
OH
363LC1500X
Community Health Nurse Practitioner
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2551671
PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH
01
—
9338635
PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH
Enumeration date
02/24/2015
Last updated
03/05/2015
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