Organization Active NPI

University of Toledo

Doing business as Student Medical Center

  • Student Health Clinic/Center
  • Toledo, OH
National Provider Identifier
1063639243
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student Health Clinic/CenterTaxonomy code 261QS1000X
Legal business name
UNIVERSITY OF TOLEDO
Doing business as
Student Medical Center
Practice address
2801 W Bancroft St
Ms 513
Toledo, OH 43606-3328
Phone
(419) 530-3479
Fax
(419) 530-3418
NPI assigned
Apr 19, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Norine Therese Wasielewski, RN MBA
Title
Sr.Director, University Health Serv
Phone
(419) 530-3479

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student Health Clinic/Center 261QS1000X NU Primary

Addresses

Primary practice location

2801 W Bancroft St
Ms 513
Toledo, OH 43606-3328

Mailing address

2801 W Bancroft St
Ms 513
Toledo, OH 43606-3328
Phone (419) 530-3479

Other names 1

  • Student Medical Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kinesiotherapy Ctr Univ3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2801 W Bancroft St
#513
Toledo, OH 43606
Phone (419) 530-3471

Interoperability endpoints

  • FHIR API: https://icon.utoledo.edu/ic-oa2-prd/api/FHIR/R4/

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063639243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 W BANCROFT ST",
            "address_2": "MS 513",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063328",
            "telephone_number": "419-530-3479",
            "fax_number": "419-530-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 W BANCROFT ST",
            "address_2": "MS 513",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063328",
            "telephone_number": "419-530-3479",
            "fax_number": "419-530-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF TOLEDO",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WASIELEWSKI",
        "authorized_official_first_name": "NORINE",
        "authorized_official_middle_name": "THERESE",
        "authorized_official_title_or_position": "SR.DIRECTOR, UNIVERSITY HEALTH SERV",
        "authorized_official_telephone_number": "419-530-3479",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN MBA"
    },
    "taxonomies": [
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Student Medical 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 Aug 22, 2020; 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.