Renal Services of Toledo, Inc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

35 038070 Issued in OH

Legal business name

RENAL SERVICES OF TOLEDO, INC

Doing business as

Renal Services of Toledo, Inc

Practice address

2702 Navarre Ave
Suite 201
Oregon, OH 43616-3223

Phone

(419) 698-8570

Fax

(419) 698-8570

NPI assigned

Dec 28, 2005

Last updated

Apr 16, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Herbert Eugene Stockard, MDNPI 1336126788

Title

President

Phone

(419) 698-8560

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• RENAL SERVICES OF TOLEDO, INC Doing business as

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 5

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.

• Akinfemi Samson Afolabi, M.D.

  • Nephrology Physician
  • Oregon, OH
  • NPI 1992782965
  Medicare reassignment Care Compare group NPD
• Elizabeth Kidder Grames, APRN

  • Nephrology Physician
  • Oregon, OH
  • NPI 1932677515
  Medicare reassignment Care Compare group NPD
• Nabeel Muhammad Imam, M.D

  • Nephrology Physician
  • Oregon, OH
  • NPI 1275859795
  Medicare reassignment Care Compare group
• Dyan Elizabeth Denmeade, APRN-CNP

  • Nurse Practitioner
  • Oak Harbor, OH
  • NPI 1861015182
  Medicare reassignment NPD
• Herbert Eugene Stockard, M. D.

  • Nephrology Physician
  • Oregon, OH
  • NPI 1336126788
  Authorized official Same address or phone

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1239840000000",
    "number": "1225015605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2702 NAVARRE AVE",
            "address_2": "SUITE 201",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163223",
            "telephone_number": "419-698-8570",
            "fax_number": "419-698-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2702 NAVARRE AVE",
            "address_2": "SUITE 201",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163223",
            "telephone_number": "419-698-8570",
            "fax_number": "419-698-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL SERVICES OF TOLEDO, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-28",
        "last_updated": "2009-04-16",
        "status": "A",
        "authorized_official_last_name": "STOCKARD",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-698-8560",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35 038070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2296064",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RENAL SERVICES OF TOLEDO, INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Chelsea Mae Riley, CNM
• Shatyra Riley
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• Nephrology Physician in Oregon, OH
• Providers in Oregon, OH by specialty
• Nephrology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.