NPIMap

Organization Active NPI

Visiting Medical Specialists of Ohio Inc

  • Family Medicine Physician
  • Toledo, OH
National Provider Identifier
1104262906
Registry record updated Jun 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.121135 Issued in OH
Legal business name
VISITING MEDICAL SPECIALISTS OF OHIO INC
Practice address
2230 W Laskey Rd
Toledo, OH 43613-3543
Phone
(419) 517-8858
NPI assigned
May 20, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2024

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

Authorized official

Name
Svetlana Stahl, NPNPI 1376821058
Title
Owner
Phone
(419) 699-1907

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 35.121135 OH Primary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X

Addresses

Primary practice location

2230 W Laskey Rd
Toledo, OH 43613-3543

Mailing address

2230 W Laskey Rd
Toledo, OH 43613-3543
Phone (419) 517-8858

Other practice location 1

1690 Woodlands Dr
Suite 200
Maumee, OH 43537-4045
Phone (419) 897-7965

Other practice location 2

10220 Grand Blvd Unit A
Luna Pier, MI 48157-9772
Phone (000) 000-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130715000655 OH Part B Supplier - Clinic/Group Practice 8527208552 Receives reassigned benefits from 1 practitioner
Practice locations: Toledo, OH
O20200930001893 MI Part B Supplier - Clinic/Group Practice 8527208552 Receives reassigned benefits from 2 practitioners
Practice locations: Luna Pier, MI

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718668800000",
    "number": "1104262906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2230 W LASKEY RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436133543",
            "telephone_number": "419-517-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 W LASKEY RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436133543",
            "telephone_number": "419-517-8858"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1690 Woodlands Dr",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Maumee",
            "state": "OH",
            "postal_code": "435374045",
            "country_code": "US",
            "telephone_number": "419-897-7965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10220 Grand Blvd Unit A",
            "address_purpose": "LOCATION",
            "city": "Luna Pier",
            "state": "MI",
            "postal_code": "481579772",
            "country_code": "US",
            "telephone_number": "000-000-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VISITING MEDICAL SPECIALISTS OF OHIO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-20",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A",
        "authorized_official_last_name": "STAHL",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-699-1907",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.121135",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.