OHIO PERMANENTE MEDICAL GROUP (NPI# 1598042442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598042442 |
| Entity Type | Organization |
| Organization Name | OHIO PERMANENTE MEDICAL GROUP |
| Other Organization Name | KAISER PERMANENTE |
| Practice Address |
2500 State Route 59 Suite 28 Kent OH 44240-7105 |
| 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 | 2011-11-07 |
| Last Update Date | 2011-11-07 |
| 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 | 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 |
|---|---|---|---|---|
| 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 |
| 1104992700 | Ohio Permanente Medical Group | Clinical Medical Laboratory | 1260 Independence Ave, Akron, OH 44310 | 2006-11-27 |
| Street Address |
2500 STATE ROUTE 59 SUITE 28 |
| City | KENT |
| State | OH |
| Zip Code | 44240-7105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730591108 | Healthspan Physicians, LLC | Durable Medical Equipment & Medical Supplies | 2500 State Route 59, Suite 28, Kent, OH 44240-7105 | 2014-05-20 |
| 1164859948 | Healthspan Integrated Care | Pediatrics | 2500 State Route 59, Suite 28, Kent, OH 44240-7105 | 2013-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881201887 | Julia Repasky | Speech-Language Pathologist | 4170 Oh-43, Kent, OH 44240 | 2020-09-24 |
| 1811515000 | Natasha Loveridge | Speech-Language Pathologist | 1949 Oh-59, Suite 202, Kent, OH 44240 | 2020-07-14 |
| 1215569256 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 247 Tallmadge Rd., Kent, OH 44240 | 2020-02-07 |
| 1710526702 | Rebecca K Cibik | Pediatrics | 2497 State Route 59, Kent, OH 44240 | 2019-12-23 |
| 1073099834 | Sean Joseph Hiemstra | Case Manager/Care Coordinator | 5982 Rhodes Road Kent Ohio 44240, Kent, OH 44240 | 2018-07-16 |
| 1740798081 | Mason Brain Yoder | Counselor | 1025 Erin Drive, Kent, OH 44240 | 2018-01-22 |
| 1710405055 | Ashley Barczok | Nurse Practitioner | 5982 Rhodes Road, Kent, OH 44240 | 2017-09-07 |
| 1073963930 | Kimberly Ruth Griffith | Counselor | 190 Currie Hall Pkwy Ste A, Kent, OH 44240 | 2016-06-21 |
| 1801257456 | Ra'mone Williams | Audiologist | 717 Beryl Dr, Kent, OH 44240 | 2016-03-10 |
| 1730546615 | Christina Cole | Nurse Practitioner | 1675 E Main St Ste 328, Kent, OH 44240 | 2016-01-22 |
| Find all providers in zip 44240 | ||||
| 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 |
|---|---|---|---|---|
| 1770971871 | Usa Vein Clinics of Kent, Pllc | Internal Medicine | 23914 100th Ave Se, Kent, WA 98031-4294 | 2014-12-26 |
| 1376804997 | San Lwai | Internal Medicine | 20040 - 120th Ave S.e., Kent, WA 98031 | 2012-05-30 |
| 1508182692 | Qliance Medical Group of Wa | Internal Medicine | 521 2nd Pl N, Suite 103, Kent, WA 98032-4537 | 2010-04-14 |
| 1922267863 | Robert Neville Tyson | Internal Medicine | 24217 139th Ave Se, Kent, WA 98042-5166 | 2008-06-05 |
| 1073703294 | Jennifer Lynn Azen | Internal Medicine | 23213 Pacific Hwy S., Kent, WA 98032-2721 | 2007-07-25 |
| 1164594776 | Narendra N. Sahney | Internal Medicine | 408 Devon Pl, Suite A, Kent, OH 44240-6479 | 2006-11-15 |
| 1891800512 | Leonard Jerome Astrauskas | Internal Medicine | 27 North Main Street, Unit 7a, Kent, CT 06757 | 2006-08-20 |
| 1053390203 | Victor Y Kopyev | Internal Medicine | 1949 State Route 59, Ste 102, Kent, OH 44240-8124 | 2006-01-15 |
| 1790771947 | Edward Dy | Internal Medicine | 23213 Pacific Hwy S, Kent, WA 98032-2721 | 2005-09-23 |
| 1366701575 | Age Management & Internal Medicine Consultants Inc. | Internal Medicine | 1949 State Route 59, Suite 102, Kent, OH 44240-8124 | 2012-05-08 |
| Find all providers in KENT | ||||
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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.