NPIMap

Organization Active NPI

Synergy Emergency Physicians, Inc.

  • Emergency Medicine Physician
  • Toledo, OH
National Provider Identifier
1154567220
Registry record updated Sep 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
SYNERGY EMERGENCY PHYSICIANS, INC.
Practice address
3404 W Sylvania Ave
Toledo, OH 43623-4467
Phone
(419) 407-2663
NPI assigned
Dec 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2011

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

Authorized official

Name
Bardley Bertke
Title
President
Phone
(419) 407-2663

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

3404 W Sylvania Ave
Toledo, OH 43623-4467

Mailing address

3404 W Sylvania Ave
Toledo, OH 43623-4467
Phone (419) 407-2663

Other identifiers 1

IdentifierTypeStateIssuer
1823129OtherOHCERTIFICATION

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

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": "1229644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316995200000",
    "number": "1154567220",
    "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": "419-407-2663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3404 W SYLVANIA AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234467",
            "telephone_number": "419-407-2663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY EMERGENCY PHYSICIANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-19",
        "last_updated": "2011-09-26",
        "status": "A",
        "authorized_official_last_name": "BERTKE",
        "authorized_official_first_name": "BARDLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-407-2663"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATION",
            "identifier": "1823129",
            "state": "OH"
        }
    ],
    "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 Sep 26, 2011; 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.