OrganizationActive
Pacific Physician Services
NPI 1104019983 · Durable Medical Equipment & Medical Supplies · Akron, OH
Provider details
- NPI number
- 1104019983
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Debbie Brewer, Director of Provider Enrollment(615) 465-7000
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
500 Portage Lakes Dr
Ste. B
Akron, OH 44319-2299
Phone: (330) 645-6934
Street-level locationGet directions
Mailing address
4000 Meridian Blvd
Franklin, TN 37067-6325
Other names (DBA / former)
- Doing business as
- Portage Lakes Internal Medicine (dme)
Registry dates
- Enumerated
- 2007-08-24
- Last updated
- 2007-08-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.