Portage Internal Medicine Associates Llc

LBN: Portage Internal Medicine Associates Llc
Portage Internal Medicine Associates Llc is an health care organization with primary practice located at 503 Overlook Dr , Kent OH 44240-5824. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as the primary health care specialty. Portage Internal Medicine Associates Llc can be contacted via phone (330) 645-6463, or through Deperro, Dean J via phone (330) 346-0800.

Contact Information

Primary practice address
503 Overlook Dr Kent OH 44240-5824
Phone: (330) 645-6463
Fax: (330) 645-6462
Website:
Map and Directions
Authorized official contact:
Name: Deperro, Dean J Doctor of Osteopathy (DO)
Phone: (330) 346-0800

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 34006535 Ohio

Profile Details

NPI number 1083809784
LBN Legal business name Portage Internal Medicine Associates Llc
DBA Doing business as
Authorized official Deperro, Dean J Doctor of Osteopathy (DO)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 6th, 2007
Last updated Dec 20th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1083809784 NPPES
Ohio MEDICAID 2192863
Ohio Other DO7407

Popular Providers