Active NPI
Sylvan Oak Family Physicians LLC
- Family Medicine Physician
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- SYLVAN OAK FAMILY PHYSICIANS LLC
- Practice address
- 6800 W Central Ave
Unit K
Toledo, OH 43617-1135 - Phone
- (417) 841-1510
- Fax
- (419) 841-1513
- NPI assigned
- Jan 25, 2007
- Last updated
- Feb 6, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark A Wentz, MD
- Title
- Managing Partner
- Phone
- (419) 841-1510
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
6800 W Central Ave
Unit K
Toledo, OH 43617-1135
Mailing address
6800 W Central Ave
Unit K
Toledo, OH 43617-1135
Phone (417) 841-1510
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000343375 | Other | OH | ANTHEM |
| DC0339 | Other | OH | RAILROAD MEDICARE |
| 2595302 | Medicaid | OH |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D0948463 | Sylvan Oak Family Physicians DRS D Fairchild, | Provider-performed microscopy | Jul 9, 2028 |
National Provider Directory
National Provider DirectoryLocations
6800 W Central Ave
Unit K
Toledo, OH 43617
Phone (419) 841-1510
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Toledo, OH
- NPI 1336116326
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1233878400000",
"number": "1104971290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6800 W CENTRAL AVE",
"address_2": "UNIT K",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436171135",
"telephone_number": "417-841-1510",
"fax_number": "419-841-1513"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 W CENTRAL AVE",
"address_2": "UNIT K",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436171135",
"telephone_number": "417-841-1510",
"fax_number": "419-841-1513"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYLVAN OAK FAMILY PHYSICIANS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-25",
"last_updated": "2009-02-06",
"status": "A",
"authorized_official_last_name": "WENTZ",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "419-841-1510",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000343375",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DC0339",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2595302",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
- Razi Uddin Syed, MD
- Sameer Syed, M.D.
- Sami Al-Rahman Syed, M.D
- Evelyn Brigitte Syfrett, CNM
- Teri J Sykes, PHARMD
- Sylvania Anesthesia Services, L.L.C.
- Sylvania Dental, Greg Theis, LLC
- Sylvania Family Pharmacy LLC (Sylvania Family Pharmacy)
- Sylvania Family Pharmacy Monroe St LLC (Sylvania Family Pharmacy)
- Sylvania Family Physicians, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.