MEDICARE: JOHN R. KARLEN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VX0201X	Gynecologic Oncology Physician	35-037937	OH

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	9338635	OTHER	OH	PARTNERS PHYSICIAN GROUP MEDICARE GROUP #

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1841239274	OTHER	OH	PARTNERS PHYSICIAN GROUP TYPE 2 NPI #
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1619972031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN R. KARLEN M.D.

Provider Business Mailing Address
First Line	:	224 W EXCHANGE ST
Second Line	:	STE. 420
City	:	AKRON
State	:	OH
Zip	:	44302-1704
Country	:	US
Telephone Number	:	330-344-6041
Fax Number	:	330-344-6449

Provider Business Practice Location Address
First Line	:	224 W EXCHANGE ST
Second Line	:	STE. 420
City	:	AKRON
State	:	OH
Zip	:	44302-1704
Country	:	US
Telephone Number	:	330-344-6041
Fax Number	:	330-344-6449

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2005
Last Update Date	:	12/04/2015

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Directions to “ JOHN R. KARLEN M.D.” Practice Location

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