West Toledo Internal Medicine Associates, Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

WEST TOLEDO INTERNAL MEDICINE ASSOCIATES, INC.

Practice address

7640 W Sylvania Ave
Suite I
Sylvania, OH 43560-9263

Phone

(419) 517-4000

Fax

(419) 517-4002

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Mark Fine, MD

Title

President

Phone

(419) 517-4000

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert G Axonovitz, M.D.

  • Internal Medicine Physician
  • Sylvania, OH
  • NPI 1730180407
  NPD

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320796800000",
    "number": "1194853556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7640 W SYLVANIA AVE",
            "address_2": "SUITE I",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435609263",
            "telephone_number": "419-517-4000",
            "fax_number": "419-517-4002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7640 W SYLVANIA AVE",
            "address_2": "SUITE I",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435609263",
            "telephone_number": "419-517-4000",
            "fax_number": "419-517-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TOLEDO INTERNAL MEDICINE ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2011-11-09",
        "status": "A",
        "authorized_official_last_name": "FINE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-517-4000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITHED HEALTH CARE GROUP",
            "identifier": "940450",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0855294",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM GROUP",
            "identifier": "000000165084",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Ryan Wellman, LSW
• Elizabeth Wells, COUNSELOR /THERAPIST
• Tina Weltin
• Lindsay Wenland
• Mariah Leeann Wenzelman
• Western Lake Erie Oms LTD.
• Rachel Westgate
• Patrick W. White, MD
• Susan White
• Erin Wiley, LPCC

• Internal Medicine Physician in Sylvania, OH
• Providers in Sylvania, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 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.