PARTNERS PHYSICIAN GROUP (NPI# 1265700520) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265700520 |
| Entity Type | Organization |
| Organization Name | PARTNERS PHYSICIAN GROUP |
| Other Organization Name | CARDIAC, THORACIC & VASCULAR SPECIALISTS |
| Practice Address |
1761 Beall Ave Wooster OH 44691-2342 |
| Practice Telephone | 3303441400 |
| Practice Fax Number | 3303440112 |
| Mailing Telephone | 3303441400 |
| Mailing Fax Number | 3303440112 |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2015-06-22 |
| Authorized Official Name | KENNETH BRAMAN (CHIEF MEDICAL OFFICER) |
| Authorized Official Telephone | 3306658302 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | OH | Allopathic & Osteopathic Physicians | |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | PARTNERS PHYSICIAN GROUP TYPE 2 NPI # | 1841239274 | 01 |
| OH | PARTNERS PHYSICIAN GROUP MEDICARE GROUP # | 9338635 | 01 |
| OH | PARTNERS PHYSICIAN GROUP MEDICAID GROUP # | 2551671 | 01 |
| Other Name | Type Code |
|---|---|
| Cardiac, Thoracic & Vascular Specialists | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528007309 | Partners Physician Group | Internal Medicine | 140 Wadsworth Rd, Wadsworth, OH 44281-9503 | 2006-06-06 |
| 1396782876 | Partners Physician Group | Family Medicine | 557 N Main St, Akron, OH 44310-3147 | 2006-06-01 |
| 1831556851 | Partners Physician Group | Nurse Practitioner | 4494 State Route 43, Kent, OH 44240-8206 | 2016-01-21 |
| 1184091621 | Partners Physician Group | Internal Medicine | 739 Graham Rd, Cuyahoga Falls, OH 44221-1056 | 2015-09-01 |
| 1164814414 | Partners Physician Group | Nurse Practitioner | 4125 Medina Rd, Akron, OH 44333-2483 | 2015-02-24 |
| 1447651237 | Partners Physician Group | Urology | 1946 Town Park Blvd, 'shared Suite', Uniontown, OH 44685-8372 | 2014-09-11 |
| 1548669864 | Partners Physician Group | Surgery | 1 Akron General Ave, Akron, OH 44307-2432 | 2014-08-22 |
| 1710393384 | Partners Physician Group | Family Medicine | 1320 Corporate Dr, #100, Hudson, OH 44236-4442 | 2014-07-03 |
| 1992138028 | Partners Physician Group | Clinic/Center | 33 North Ave, 104, Tallmadge, OH 44278-1925 | 2013-08-13 |
| 1487096277 | Partners Physician Group | Urology | 2603 W Market St, #210, Akron, OH 44313-4208 | 2013-07-23 |
| Street Address |
1761 BEALL AVE |
| City | WOOSTER |
| State | OH |
| Zip Code | 44691-2342 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437156247 | City of Wooster | General Acute Care Hospital | 1761 Beall Ave, Wooster, OH 44691-2342 | 2005-07-07 |
| 1073137048 | Vickie Lyn Heath | Registered Nurse | 1761 Beall Ave, Wooster, OH 44691-2342 | 2020-06-04 |
| 1730703737 | Amie Renee Spicocchi | Registered Nurse | 1761 Beall Ave, Wooster, OH 44691-2342 | 2020-06-04 |
| 1700409752 | Nicole Sword | Registered Nurse | 1761 Beall Ave, Wooster, OH 44691-2342 | 2020-05-26 |
| 1831727452 | Paul W Aslanides | Nurse Practitioner | 1761 Beall Ave, Wooster, OH 44691-2342 | 2020-03-30 |
| 1154960581 | Brittany Paul | Dietitian, Registered | 1761 Beall Ave, Wooster, OH 44691-2342 | 2020-01-02 |
| 1043857279 | Anna Kathryn Gest | Dietitian, Registered | 1761 Beall Ave, Wooster, OH 44691-2342 | 2019-12-06 |
| 1568009298 | Sarah Ickes | Pharmacist | 1761 Beall Ave, Wooster, OH 44691-2342 | 2019-12-02 |
| 1346887197 | Cheryl Sue Mast | Pharmacist | 1761 Beall Ave, Wooster, OH 44691-2342 | 2019-11-27 |
| 1437795275 | Susan Mcilvaine | Pharmacist | 1761 Beall Ave, Wooster, OH 44691-2342 | 2019-11-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285296426 | Teddi Lynn Beun | Home Health Aide | 337 West North Street, Suite 1, Wooster, OH 44691 | 2019-07-08 |
| 1285102418 | Samantha M Rodman | Case Manager/Care Coordinator | 2858 Back Orrville Road, Wooster, OH 44691 | 2018-11-06 |
| 1205347028 | Progressive Wooster LLC | Skilled Nursing Facility | 1700 E Smithville Wester Rd, Wooster, OH 44691 | 2017-10-19 |
| 1619357563 | Michelle L Morton | Counselor | 439 N Market St Ste B, Wooster, OH 44691 | 2015-06-05 |
| 1003295502 | Walter Blair Geho | Internal Medicine | 533 Beechwood Street, Wooster, OH 44691 | 2015-05-29 |
| 1578960589 | Beth Gaubatz | Psychologist | 375 South Smyser Road, Wooster, OH 44691 | 2014-11-20 |
| 1184039729 | Diane Woodruff | Licensed Practical Nurse | 1605 Lemar Dr, Wooster, OH 44691 | 2014-06-23 |
| 1003257312 | Stacy Marie Scheibert | Licensed Practical Nurse | 639 Robinson Road, Wooster, OH 44691 | 2013-07-15 |
| 1487905972 | Judy Kropf | Counselor | 104 Spink Street, Wooster, OH 44691 | 2012-09-25 |
| 1295080752 | Brittany J Mowrer | Home Health Aide | 3570 W Smithville Western Rd, Wooster, OH 44691 | 2012-07-19 |
| Find all providers in zip 44691 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659993459 | Matt Thompson | Surgery | Department of Vascular Surgery 9500 Euclid Avenue, Cleveland, OH 44195-0001 | 2020-05-14 |
| 1194373704 | Premier Vein and Vascular Care LLC | Surgery | 33290 Bainbridge Rd, Solon, OH 44139-2802 | 2019-08-27 |
| 1588144299 | Garcia Vascular Surgery Center, LLC | Surgery | 29099 Health Campus Dr Ste 380, Westlake, OH 44145-5276 | 2018-08-21 |
| 1962900365 | Marilyn Mcnamara | Surgery | 1031 Brook Ln, Rocky River, OH 44116-2184 | 2018-01-31 |
| 1386155521 | Zanesville Vascular Vein & Wound Center LLC | Surgery | 3964 Frazeysburg Rd Unit A, Zanesville, OH 43701-8920 | 2017-10-16 |
| 1679026751 | Center for Vein Restoration Oh, LLC | Surgery | 1050 Isaac Streets Dr Ste 131, Oregon, OH 43616-8203 | 2016-07-26 |
| 1235541640 | Jon Garrett Quatromoni | Surgery | Mail Code F30 9500 Euclid Avenue, Cleveland, OH 44195-4238 | 2014-05-20 |
| 1881035343 | Innovative Wound Care Associates, Inc | Surgery | 790 Boardman Canfield Rd Ste 3, Boardman, OH 44512-4344 | 2013-07-12 |
| 1184062242 | Jorge Enrique Motta | Surgery | 12268 Church Rd, Orrville, OH 44667-9623 | 2013-06-11 |
| 1912245853 | Cleveland East Vascular Care, LLC | Surgery | 23650 Commerce Park Ste B, Beachwood, OH 44122-5817 | 2013-01-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.