OHIO PERMANENTE MEDICAL GROUP (NPI# 1104992700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104992700 |
| Entity Type | Organization |
| Organization Name | OHIO PERMANENTE MEDICAL GROUP |
| Other Organization Name | KAISER PERMANENTE |
| Practice Address |
1260 Independence Ave Akron OH 44310 |
| Mailing Address |
12301 Snow Road Parma OH 44130 |
| Practice Telephone | 2162658844 |
| Practice Fax Number | 2162658890 |
| Mailing Telephone | 2162658844 |
| Mailing Fax Number | 2162658890 |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2007-10-12 |
| Authorized Official Name | THOMAS REVIS (VP CFO) |
| Authorized Official Telephone | 2162658844 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| 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 |
| 1073882445 | Ohio Permanente Medical Group | Pediatrics | 3443 Medina Rd, Suite 108, Medina, OH 44256-5360 | 2011-12-14 |
| 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 |
| Street Address |
1260 INDEPENDENCE AVE |
| City | AKRON |
| State | OH |
| Zip Code | 44310 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346278306 | Lori A Moore | Specialist | 1260 Independence Ave, Akron, OH 44310-1812 | 2006-06-29 |
| 1508494279 | Erin Tisdale | Nurse Practitioner | 1260 Independence Ave, Akron, OH 44310-1812 | 2020-03-30 |
| 1407314339 | Elizabeth Dru Dodson | Nurse Practitioner | 1260 Independence Ave, Akron, OH 44310-1812 | 2019-03-11 |
| 1326525999 | Sara Pinkerton | Nurse Practitioner | 1260 Independence Ave, Akron, OH 44310-1812 | 2018-07-25 |
| 1639673486 | Debra L. Mckinney | Nurse Practitioner | 1260 Independence Ave, Akron, OH 44310-1812 | 2018-03-19 |
| 1114441888 | Caroline F Klein | Nurse Practitioner | 1260 Independence Ave, Akron, OH 44310-1812 | 2017-08-03 |
| 1629480058 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 1260 Independence Ave, Akron, OH 44310-1812 | 2014-05-20 |
| 1962839753 | Healthspan Integrated Care | Obstetrics & Gynecology | 1260 Independence Ave, Akron, OH 44310-1812 | 2013-10-11 |
| 1346425147 | Summa Physicians Inc | Internal Medicine | 1260 Independence Ave, Akron, OH 44310-1812 | 2007-12-31 |
| 1457542078 | Carl W Obendorf Jr. | Pharmacist | 1260 Independence Ave, Akron, OH 44310-1812 | 2007-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518584085 | Michelle Lynn Lanning | Peer Specialist | 213 E. Glenwood Ave., Akron, OH 44310 | 2020-07-01 |
| 1376172759 | Blake Schach | Student in an Organized Health Care Education/Training Program | Orthopedic Clinic 444 N. Main St., 3rd Floor, Akron, OH 44310 | 2020-04-07 |
| 1528558137 | Nortisha Meco Brown-nelson | Social Worker | 1187 Linden Ave, Akron, OH 44310 | 2018-05-18 |
| 1114429123 | Sharon Denise Shell | Home Health Aide | 1307 Brownstone Ave, Akron, OH 44310 | 2018-03-06 |
| 1467961631 | A Door of Hope Center | Early Intervention Provider Agency | 311 Montrose Ave., Akron, OH 44310 | 2017-09-20 |
| 1750809570 | Laura Stover | Counselor | 445 N Main Street, Akron, OH 44310 | 2017-08-31 |
| 1083131817 | Heather Lynne Barger | Counselor | 15 Frederick Avenue, Akron, OH 44310 | 2017-08-23 |
| 1659898377 | Heidi Irene Sirotzki | Peer Specialist | 215 E. Glenwood Ave., Akron, OH 44310 | 2017-08-23 |
| 1013432939 | Veniece Harris | Licensed Practical Nurse | 1469 Alphada Ave, Apt D5, Akron, OH 44310 | 2017-08-11 |
| 1417493289 | Marcella Brooks | Counselor | 445 North Main Street, Akron, OH 44310 | 2017-01-17 |
| Find all providers in zip 44310 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053748269 | Care Tech Tissue LLC | Clinical Medical Laboratory | 526 S Main St, Suite 810, Akron, OH 44311-4401 | 2013-10-02 |
| 1336419621 | Comprehensive Pain Management Specialists | Clinical Medical Laboratory | 2215 E Waterloo Rd Ste 313, Akron, OH 44312-3856 | 2012-01-04 |
| 1639249410 | Hollywood Diagnostic Center Inc | Clinical Medical Laboratory | 224 W Exchange St Ste 360, Akron, OH 44302-1715 | 2006-11-08 |
| 1801300850 | Oriana House, Inc. | Clinical Medical Laboratory | 65 E Glenwood Ave, Akron, OH 44304-1137 | 2017-11-29 |
| 1518206085 | Akron General Medical Center | Clinical Medical Laboratory | 1 Akron General Ave, Akron, OH 44307-2432 | 2013-02-04 |
| 1841451614 | Progressive Park LLC | Clinical Medical Laboratory | 797 E Market St, Akron, OH 44305-2440 | 2008-06-24 |
| 1790973246 | Fertility Unlimited, Inc | Clinical Medical Laboratory | 468 E Market St, Akron, OH 44304-1594 | 2007-10-10 |
| 1689740367 | Kaiser Foundation Health Plan | Clinical Medical Laboratory | 1260 Independence Ave, Akron, OH 44310 | 2006-11-27 |
| 1700855442 | Accupath Laboratory Services Inc | Clinical Medical Laboratory | 525 E Market St, Akron, OH 44304-1619 | 2006-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821605338 | Quest Diagnostics | Clinical Medical Laboratory | 227 Valley View Dr Ste A, Waverly, OH 45690-9135 | 2020-09-29 |
| 1033724109 | Mobility Health, LLC | Clinical Medical Laboratory | 5155 Financial Way Ste 1, Mason, OH 45040-7507 | 2020-09-15 |
| 1649882028 | Quest Diagnostics | Clinical Medical Laboratory | 7777 St Rt 23, Ste A, Piketon, OH 45661 | 2020-08-18 |
| 1063023612 | Quest Diagnostics | Clinical Medical Laboratory | 621 Broadway St Ste A, Portsmouth, OH 45662-4788 | 2020-08-16 |
| 1699384412 | Cleveland Diagnostics, Inc. | Clinical Medical Laboratory | 3615 Superior Ave E Ste 4407b, Cleveland, OH 44114-4139 | 2020-07-28 |
| 1922616168 | Quest Diagnostics | Clinical Medical Laboratory | 14590 State Route 93 Ste A, Jackson, OH 45640-8977 | 2020-07-14 |
| 1053937219 | Quest Diagnostics LLC Il | Clinical Medical Laboratory | 23030 State Route 73 Ste A, West Portsmouth, OH 45663-8861 | 2020-06-23 |
| 1942832084 | M1 Labs, LLC | Clinical Medical Laboratory | 1330 State Route 14, Columbiana, OH 44408 | 2020-02-06 |
| 1679123970 | Compunet Clinical Laboratories LLC | Clinical Medical Laboratory | 300 Austin West Blvd, Miamisburg, OH 45342-7519 | 2019-09-18 |
| 1780240788 | Access Hospital Dayton Lab LLC | Clinical Medical Laboratory | 2611 Wayne Ave Bldg 63, Dayton, OH 45420-1833 | 2019-05-15 |
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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.