OHIO PERMANENTE MEDICAL GROUP (NPI# 1073882445) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073882445 |
| Entity Type | Organization |
| Organization Name | OHIO PERMANENTE MEDICAL GROUP |
| Other Organization Name | KAISER PERMANENTE |
| Practice Address |
3443 Medina Rd Suite 108 Medina OH 44256-5360 |
| Mailing Address |
12301 Snow Rd Parma OH 44130-1002 |
| Practice Telephone | 2162658844 |
| Practice Fax Number | 2162658890 |
| Mailing Telephone | 2162658844 |
| Mailing Fax Number | 2162658890 |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2011-12-14 |
| Authorized Official Name | MR. CRAIG FAERBER (VP/CFO) |
| Authorized Official Telephone | 2162658844 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | OH | Allopathic & Osteopathic Physicians | |
| Y | 207R00000X | Internal Medicine | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0211372 | 05 |
| Other Name | Type Code |
|---|---|
| Kaiser Permanente | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598042442 | Ohio Permanente Medical Group | Pediatrics | 2500 State Route 59, Suite 28, Kent, OH 44240-7105 | 2011-11-07 |
| 1336426279 | Ohio Permanente Medical Group | Pediatrics | 7536 Fredle Dr, Concord Twp, OH 44077-9406 | 2011-11-07 |
| 1952685851 | Ohio Permanente Medical Group | Pediatrics | 7695 Mentor Ave, Mentor, OH 44060-5540 | 2011-10-11 |
| 1942583646 | Ohio Permanente Medical Group | Family Medicine | 4914 Portage St Nw, North Canton, OH 44720-7249 | 2011-09-20 |
| 1760540785 | Ohio Permanente Medical Group | Clinical Medical Laboratory | 12301 Snow Road, Parma, OH 44130 | 2006-12-04 |
| 1104992700 | Ohio Permanente Medical Group | Clinical Medical Laboratory | 1260 Independence Ave, Akron, OH 44310 | 2006-11-27 |
| Street Address |
3443 MEDINA RD SUITE 108 |
| City | MEDINA |
| State | OH |
| Zip Code | 44256-5360 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720056724 | Richard Pallen | Dentist | 3443 Medina Rd, Medina, OH 44256-5965 | 2006-03-08 |
| 1730631003 | Hearing Health Usa | Durable Medical Equipment & Medical Supplies | 3443 Medina Rd, Suite 101a, Medina, OH 44256-5360 | 2016-11-02 |
| 1437541224 | Birchcrest Holdings, LLC | Clinic/Center | 3443 Medina Rd, Suite 103, Medina, OH 44256-5360 | 2015-03-03 |
| 1467841031 | Jessica Rose Seitz | Counselor | 3443 Medina Rd, Suite 101b, Medina, OH 44256-5360 | 2015-01-20 |
| 1881006260 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 3443 Medina Rd, Suite 108, Medina, OH 44256-5360 | 2014-05-20 |
| 1285061069 | Healthspan Integrated Care | Pediatrics | 3443 Medina Rd, Suite 108, Medina, OH 44256-5360 | 2013-10-11 |
| 1487995247 | Anthony M Pasadyn | Hearing Instrument Specialist | 3443 Medina Rd, Ste 101a, Medina, OH 44256-5360 | 2013-03-04 |
| 1811276389 | Robert Formoso | Hearing Instrument Specialist | 3443 Medina Rd, Suite 101a, Medina, OH 44256-5360 | 2011-08-15 |
| 1669702122 | Medina Pediatric Dental Associates | Dentist | 3443 Medina Rd, Suite 104, Medina, OH 44256-5360 | 2010-01-06 |
| 1033324017 | Tamika Patilla | Pediatrics | 3443 Medina Rd, Suite 115, Medina, OH 44256-5360 | 2007-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215577408 | Phil Mcclelland | Counselor | 520 Miller Dr, Medina, OH 44256 | 2020-01-15 |
| 1619519444 | Lauren Marie Blakney | Nurse Practitioner | 970 E Washington St., Medina, OH 44256 | 2019-10-14 |
| 1558922286 | Jennifer Sue Arhin | Nurse Practitioner | 807 E Washington St., Ste 220, Medina, OH 44256 | 2019-06-24 |
| 1891263927 | Jena Christine Palmer | Nurse Practitioner | 817 E Washington Street, Medina, OH 44256 | 2018-11-07 |
| 1154849891 | Janelle Liggett-schultz | Licensed Practical Nurse | 8170 Coon Club Rd, Medina, OH 44256 | 2017-09-01 |
| 1942725478 | Amanda Kay Byrne | Registered Nurse | 1000 Concord Dr., Medina, OH 44256 | 2017-08-05 |
| 1821526922 | Melissa Marie Rutti | Nurse Practitioner | 111 Reagan Pkwy, Medina, OH 44256 | 2017-06-01 |
| 1992238919 | Lisa Scherler | Speech-Language Pathologist | 3880 Ridge Rd., Medina, OH 44256 | 2017-04-06 |
| 1770026502 | Victoria Lee Ayala | Speech-Language Pathologist | 390 Fair Street, Berea, OH 44256 | 2016-11-28 |
| 1982076626 | Finding Your Identity LLC | Community/Behavioral Health | 124 West Lafayette Road, Suite 100, Medina, OH 44256 | 2015-10-21 |
| Find all providers in zip 44256 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447878806 | Sprholdings, LLC | Internal Medicine | 885 Damon Dr, Medina, OH 44256-2009 | 2020-07-10 |
| 1922263573 | Kunal Mitra Md | Internal Medicine | 3575 Reserve Commons Dr, Suite 150, Medina, OH 44256 | 2008-07-23 |
| 1396904728 | Raza Medical Office Pllc | Internal Medicine | 1038 Gwinn St, Medina, NY 14103-1740 | 2008-06-02 |
| 1720250343 | Sushil K Jain Md Inc | Internal Medicine | 5041 Victor Drive, Unit C, Medina, OH 44256 | 2008-03-25 |
| 1700085545 | Teresa Elizabeth Goebel | Internal Medicine | 3780 Medina Rd Ste 140, Medina, OH 44256-9312 | 2007-07-12 |
| 1972700748 | Ryan Nerland | Internal Medicine | 101 Garrett Dr, Medina, TN 38355-9641 | 2007-06-27 |
| 1538254271 | Kunal Mitra | Internal Medicine | 970 E Washington St Ste 2f, Medina, OH 44256 | 2006-10-04 |
| 1962508374 | Karen M Hummel | Internal Medicine | 4001 Carrick Dr Ste 150, Medina, OH 44256-5392 | 2006-09-15 |
| 1801906003 | Julie A Ronyak | Internal Medicine | 3617 Reserve Commons Dr, Medina, OH 44256-8179 | 2006-08-30 |
| 1194835306 | Karen M Monheim | Internal Medicine | 4001 Carrick Dr Ste 210, Medina, OH 44256-5393 | 2006-08-30 |
| Find all providers in MEDINA | ||||
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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.