Organization
PARTNERS PHYSICIAN GROUP
Active
Other names
Northeast Ohio Orthopaedic Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL TAILLARD (DIRECTOR, FINANCE)
(330) 344-6095
Entity
Organization
Contact information
Practice address
33 BAKER BLVD, FAIRLAWN, OH 44333-3650
(330) 344-1980
(330) 344-6038
Mailing address
33 BAKER BLVD, FAIRLAWN, OH 44333-3650
(330) 344-1980
(330) 344-6038
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
OH
207XX0801X
Orthopaedic Trauma Physician
—
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841239274
PARTNERS PHYSICIAN GROUP NPI GROUP #
OH
01
—
2551671
PARTNERS PHYSICIAN GROUP MEDICAID GROUP #
OH
01
—
9338635
PARTNERS PHYSICIAN GROUP MEDICARE GROUP #
OH
Enumeration date
11/01/2010
Last updated
11/28/2011
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