| Ohio Permanente Medical Group Inc | |
|
12301 Snow Rd Parma OH 44130-1002 | |
| (216) 265-8810 | |
| (216) 265-8890 |
| Full Name | Ohio Permanente Medical Group Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 12301 Snow Rd, Parma, Ohio |
| Authorized Official Name and Position | Marilyn Praznik (TREASURER CFO SENIOR BUSINESS EXECU) |
| Authorized Official Contact | 2166238783 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohio Permanente Medical Group Inc 1001 Lakeside Avenue Suite 1200 Cleveland OH 44114 Ph: (216) 623-8783 | Ohio Permanente Medical Group Inc 12301 Snow Rd Parma OH 44130-1002 Ph: (216) 265-8810 |
| NPI Number | 1023115540 |
|---|---|
| Provider Enumeration Date | 09/19/2006 |
| Last Update Date | 02/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023115540 | NPI | - | NPPES |
| 0211372 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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