Organization Active NPI

Lois a. Nelson, MD LLC

  • Allergy & Immunology Physician
  • Toledo, OH
National Provider Identifier
1174650402
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
35-045307 Issued in OH
Legal business name
LOIS A. NELSON, MD LLC
Practice address
3454 Oak Alley CT
Suite 202
Toledo, OH 43606-1370
Phone
(419) 536-1322
Fax
(419) 536-0302
NPI assigned
Feb 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Lois A. Nelson, M.D.
Title
President
Phone
(419) 536-1322

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 35-045307 OH Primary

Addresses

Primary practice location

3454 Oak Alley CT
Suite 202
Toledo, OH 43606-1370

Mailing address

3454 Oak Alley CT
Suite 202
Toledo, OH 43606-1370
Phone (419) 536-1322

Other identifiers 1

IdentifierTypeStateIssuer
0435130MedicaidOH

National Provider Directory

National Provider Directory

Locations

960 W Wooster St
Ste 108
Bowling Green, OH 43402
Phone (419) 353-1063

3454 Oak Alley Ct
Ste 202
Toledo, OH 43606
Phone (419) 536-1322

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/723/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1174650402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3454 OAK ALLEY CT",
            "address_2": "SUITE 202",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061370",
            "telephone_number": "419-536-1322",
            "fax_number": "419-536-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3454 OAK ALLEY CT",
            "address_2": "SUITE 202",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061370",
            "telephone_number": "419-536-1322",
            "fax_number": "419-536-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOIS A. NELSON, MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "LOIS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-536-1322",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "OH",
            "license": "35-045307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0435130",
            "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 Jul 21, 2022; 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.