NPIMap

Individual provider Active NPI

Ryan Joseph Szenderski, P A

  • Physician Assistant
  • Sylvania, OH
National Provider Identifier
1053538512
Registry record updated May 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50002594 Issued in OH
Practice address
7640 Sylvania Avenue
# 100
Sylvania, OH 43560
Phone
(419) 473-2273
Fax
(419) 473-0474
NPI assigned
Apr 19, 2007
Last updated
May 1, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50002594 OH Primary

Addresses

Primary practice location

7640 Sylvania Avenue
# 100
Sylvania, OH 43560

Mailing address

4235 Secor Rd
Toledo, OH 43623
Phone (419) 473-3561

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070720000579 OH Practitioner - Physician Assistant 4688775612 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toledo Clinic IncorporatedGroup PAC ID 5698673382, 204 clinicians

Practice addresses (Care Compare)

4235 Secor Rd
Toldeo, OH 43623-4231
Phone (419) 874-3246

7640 Sylvania Ave
Sylvania, OH 43560-9263

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Toledo Clinic Incorporated Current Accepting new patients
Toledo Clinic Incorporated CurrentSince Mar 1, 2012 Accepting new patients
Toledo Clinic Incorporated CurrentSince Mar 1, 2012 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Primary Care Center Inc Past Accepting new patients
Toledo Clinic Incorporated Past Accepting new patients

Locations

7640 Sylvania Ave
Ste C-2
Sylvania, OH 43560
Phone (419) 473-2273

7640 Sylvania Ave
Ste E
Sylvania, OH 43560
Phone (419) 473-2273

4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214

Interoperability endpoints

  • Direct secure messaging: ryan.szenderski@toledoclinic.eclinicaldirectplus.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335830400000",
    "number": "1053538512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43623",
            "telephone_number": "419-473-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7640 SYLVANIA AVENUE",
            "address_2": "# 100",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "43560",
            "telephone_number": "419-473-2273",
            "fax_number": "419-473-0474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZENDERSKI",
        "first_name": "RYAN",
        "middle_name": "JOSEPH",
        "credential": "P A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2012-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50002594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

Verify at the official NPI Registry.