Healthcare Provider Details

I. General information

NPI: 1548207111
Provider Name (Legal Business Name): PARTNERS PHYSICIAN GROUP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 11/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

676 S BROADWAY ST
AKRON OH
44311-1059
US

IV. Provider business mailing address

676 S BROADWAY ST
AKRON OH
44311-1059
US

V. Phone/Fax

Practice location:
  • Phone: 330-344-4000
  • Fax: 330-253-2349
Mailing address:
  • Phone: 330-344-4000
  • Fax: 330-253-2349

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: KENNETH BRAMAN
Title or Position: CHIEF MEDICAL OFFICER
Credential: DO
Phone: 330-665-8302