Organization Active NPI

Steven B. Dood, M.D., LLC

  • Family Medicine Physician
  • Waterville, OH
National Provider Identifier
1184808453
Registry record updated Jun 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35067037 Issued in OH
Legal business name
STEVEN B. DOOD, M.D., LLC
Practice address
140 South River Road
Waterville, OH 43566
Phone
(419) 878-8513
Fax
(419) 878-8515
NPI assigned
Dec 21, 2007
Last updated
Jun 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2011

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

Authorized official

Name
Dr. Steven B. Dood, M.D.
Title
Owner
Phone
(419) 878-8513

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35067037 OH Primary

Addresses

Primary practice location

140 South River Road
Waterville, OH 43566

Mailing address

140 South River Road
Waterville, OH 43566
Phone (419) 878-8513

Other identifiers 1

IdentifierTypeStateIssuer
0184965MedicaidOH

National Provider Directory

National Provider Directory

Locations

4645 Lewis Ave
Toledo, OH 43612
Phone (419) 470-0046

140 S River Rd
Waterville, OH 43566
Phone (418) 878-8513

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308268800000",
    "number": "1184808453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 SOUTH RIVER ROAD",
            "city": "WATERVILLE",
            "state": "OH",
            "postal_code": "43566",
            "telephone_number": "419-878-8513",
            "fax_number": "419-878-8515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 SOUTH RIVER ROAD",
            "city": "WATERVILLE",
            "state": "OH",
            "postal_code": "43566",
            "telephone_number": "419-878-8513",
            "fax_number": "419-878-8515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN B. DOOD, M.D., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2011-06-17",
        "status": "A",
        "authorized_official_last_name": "DOOD",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-878-8513",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35067037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0184965",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterville, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.