NPIMap

Organization Active NPI

Oaktree Surgery, Inc.

  • Plastic Surgery Physician
  • Toledo, OH
National Provider Identifier
1144250366
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
35-04-3030 Issued in OH
Legal business name
OAKTREE SURGERY, INC.
Practice address
3438 Granite Cir
Toledo, OH 43617-1160
Phone
(419) 841-2303
Fax
(419) 842-1161
NPI assigned
Jul 4, 2006
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
Luis H Carvalho, MDNPI 1528092012
Title
Owner
Phone
(419) 841-2303

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208200000X 35-04-3030 OH Primary

Addresses

Primary practice location

3438 Granite Cir
Toledo, OH 43617-1160

Mailing address

3438 Granite Cir
Toledo, OH 43617-1160
Phone (419) 841-2303

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144250366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3438 GRANITE CIR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171160",
            "telephone_number": "419-841-2303",
            "fax_number": "419-842-1161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3438 GRANITE CIR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171160",
            "telephone_number": "419-841-2303",
            "fax_number": "419-842-1161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OAKTREE SURGERY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARVALHO",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-841-2303",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "OH",
            "license": "35-04-3030",
            "primary": true
        }
    ],
    "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 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.