NPIMap

Organization Active NPI

Mercy Health - St Anne Hospital LLC

Doing business as Mercy Health - Regency Park Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Toledo, OH
National Provider Identifier
1053706903
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
MERCY HEALTH - ST ANNE HOSPITAL LLC
Doing business as
Mercy Health - Regency Park Surgery Center
Practice address
2000 Regency CT
Suite 101
Toledo, OH 43623-3090
Phone
(419) 882-0003
NPI assigned
Mar 30, 2015
Last updated
Jan 13, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
MERCY HEALTH NORTH, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Authorized official

Name
Mr. Bradley Bertke
Title
Ceo
Phone
(419) 407-2400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X NU Primary

Addresses

Primary practice location

2000 Regency CT
Suite 101
Toledo, OH 43623-3090

Mailing address

3404 W Sylvania Ave
Toledo, OH 43623-4467
Phone (419) 407-2400

Other names 1

  • MERCY HEALTH - REGENCY PARK SURGERY CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Northern Lights Medical2 organizations share this tax ID, including this one
Part of
Mercy Health System Northern

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1427673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1053706903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3404 W SYLVANIA AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234467",
            "telephone_number": "419-407-2400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 REGENCY CT",
            "address_2": "SUITE 101",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233090",
            "telephone_number": "419-882-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH - ST ANNE HOSPITAL LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HEALTH NORTH, LLC",
        "enumeration_date": "2015-03-30",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "BERTKE",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "419-407-2400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCY HEALTH - REGENCY PARK SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MERCY HEALTH - REGENCY PARK SURGERY CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.