PORTAGE INTERNAL MEDICINE ASSOCIATES LLC (NPI# 1083809784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083809784 |
| Entity Type | Organization |
| Organization Name | PORTAGE INTERNAL MEDICINE ASSOCIATES LLC |
| Practice Address |
101 5th St Se Suite C Barberton OH 44203-4259 |
| Mailing Address |
Po Box 45519 Westlake OH 44145-0519 |
| Practice Telephone | 3306456463 |
| Practice Fax Number | 3306456462 |
| Mailing Telephone | 8005144390 |
| Mailing Fax Number | 4408083675 |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2010-08-31 |
| Authorized Official Name | DR. DEAN J DEPERRO SR. (PHYSICAN) |
| Authorized Official Telephone | 3303460800 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0300X |
Internal Medicine Specialization: Geriatric Medicine |
34006535 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2192863 | 05 | |
| OH | RAILROAD CARE | DO7407 | 01 |
| Street Address |
101 5TH ST SE SUITE C |
| City | BARBERTON |
| State | OH |
| Zip Code | 44203-4259 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649252800 | Robert George Scarcella | Surgery | 101 5th St Se, Ste E, Barberton, OH 44203-4259 | 2005-11-15 |
| 1740749332 | Michelle Lynn Norman | Counselor | 101 5th St Se, Barberton, OH 44203-4259 | 2019-03-14 |
| 1649796392 | Brooke Lynn Keller | Counselor | 101 5th St Se, Barberton, OH 44203-4259 | 2017-08-15 |
| 1164723870 | R W Malek Md Inc | Technician/Technologist | 101 5th St Se, Suite K, Barberton, OH 44203-4259 | 2010-11-11 |
| 1255409884 | Teresa Maria Matty | Internal Medicine | 101 5th St Se, Ste. B, Barberton, OH 44203-4259 | 2006-12-01 |
| 1568567410 | Dean Deperro Sr. | Internal Medicine | 101 5th St Se, Suite C, Barberton, OH 44203-4259 | 2006-09-14 |
| 1770597460 | Kevin J Forsyth | Preventive Medicine | 101 5th St Se, Suite J, Barberton, OH 44203-4259 | 2006-07-28 |
| 1144249590 | Pioneer Physicians Network Inc | Durable Medical Equipment & Medical Supplies | 101 5th St Se, Suite G, Barberton, OH 44203-4259 | 2006-07-18 |
| 1336170133 | Roushdy W Malek | Ophthalmology | 101 5th St Se, Suite K, Barberton, OH 44203-4259 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639799653 | Candice Rae Volney | Student in an Organized Health Care Education/Training Program | 155 Fifth St Ne, Summa Health/ Family Residency, Barberton, OH 44203 | 2020-04-20 |
| 1912526609 | Braulio Eduardo Paredes | Student in an Organized Health Care Education/Training Program | 155 Fifth St. Ne, Summa Health/family Medicine Residency, Barberton, OH 44203 | 2020-04-13 |
| 1013484047 | Rmd First Step: Community Services Plus | Private Vehicle | 472 Bell Street, Barberton, OH 44203 | 2018-10-29 |
| 1477065290 | Mason E Dubina | Specialist/Technologist | 1602 Wilsonway Dr, Barberton, OH 44203 | 2017-11-02 |
| 1467994087 | Holly Marie Mclaughlin | Speech-Language Pathologist | 4128 S. Cleveland-massilon Road, Norton, OH 44203 | 2016-11-14 |
| 1629438437 | Michael Anderson | Counselor | 145 Yonker Street, Barbeton, OH 44203 | 2016-03-07 |
| 1801284302 | Susan Lynn Wilson | Registered Nurse | 2988 Moyer Ave, Norton, OH 44203 | 2015-01-06 |
| 1669886735 | Allison Nettle | Psychologist | 477 4th St. Nw, Barberton, OH 44203 | 2014-06-17 |
| 1245661818 | Melanie Vaughan | Social Worker | 202 Austrin Drive Ct. Apt. C, Barberton, OH 44203 | 2013-12-09 |
| 1528408135 | Tammy Galik | Licensed Practical Nurse | 446 Wooster Rd N, Barberton, OH 44203 | 2013-06-27 |
| Find all providers in zip 44203 | ||||
| Taxonomy Code | 207RG0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Geriatric Medicine |
| An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. |
| 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 |
|---|---|---|---|---|
| 1881778835 | Mohammad A. Dar | Internal Medicine | 91 5th St Se, Barberton, OH 44203-4203 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298119 | Np Insight | Internal Medicine | 4996 Pigeon Run Rd Sw, Navarre, OH 44662-8123 | 2020-06-01 |
| 1164082764 | Phoenix Help LLC | Internal Medicine | 7215 Winding Way, Cincinnati, OH 45236-3340 | 2019-06-17 |
| 1790343846 | Geriatric Care Providers Inc | Internal Medicine | 2605 Greenbrier Ct, Beavercreek, OH 45431-8564 | 2019-06-04 |
| 1538698568 | David John Donofrio | Internal Medicine | 6427 Stonecrest Dr, Brookpark, OH 44142-3767 | 2017-06-04 |
| 1346690757 | Detroit 74th Medical Clinic Inc | Internal Medicine | 4805 Lorain Ave, Cleveland, OH 44102-3351 | 2016-06-16 |
| 1245610179 | Sarah Hyun Hong Min | Internal Medicine | 2355 Norwood Ave Ste 1, Cincinnati, OH 45212-2750 | 2015-06-05 |
| 1326434127 | Hiba Khan | Internal Medicine | 1950 E 89th Street, Cleveland, OH 44195-1003 | 2015-04-09 |
| 1184927287 | Range Health Care Services LLC | Internal Medicine | 4875 Union Rd, Franklin, OH 45005-5127 | 2010-12-10 |
| 1366622623 | Peter Dillard Md Inc | Internal Medicine | 3237 Ormond Rd, Cleveland Heights, OH 44118-3415 | 2007-11-05 |
| 1427261692 | Preeti Betkerur | Internal Medicine | 75th Arch St, Suite G 2, Akron, OH 44304 | 2007-05-07 |
| Find all providers with the same taxonomy | ||||
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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.