| Bath Medical Group | |
|
4125 Medina Rd #215 Akron OH 44333-2483 | |
| (330) 665-8143 | |
| (330) 668-1289 |
| Full Name | Bath Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 4125 Medina Rd, Akron, Ohio |
| Authorized Official Name and Position | Daniel Taillard (DIRECTOR, FINANCE & OPERATIONS) |
| Authorized Official Contact | 3303446095 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bath Medical Group 4125 Medina Rd #215 Akron OH 44333-2483 Ph: (330) 665-8143 | Bath Medical Group 4125 Medina Rd #215 Akron OH 44333-2483 Ph: (330) 665-8143 |
| NPI Number | 1023301025 |
|---|---|
| Provider Enumeration Date | 05/24/2011 |
| Last Update Date | 07/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023301025 | NPI | - | NPPES |
| 9338635 | Other | OH | PARTNERS PHYSICIAN GROUP MEDICARE # |
| 2551671 | Other | OH | PARTNERS PHYSICIAN GROUP MEDICAID # |
| 1841239274 | Other | OH | PARTNERS PHYSICIAN GROUP TYPE 2 NPI # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34-006963 (Ohio) | Primary |
| 207VG0400X | Obstetrics & Gynecology - Gynecology | 35-050322 (Ohio) | Secondary |
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