Active NPI
Todd William Olthof
- Paramedic
- Port Clinton, OH
National Provider Identifier
1235904343
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- 3201001350
- Practice address
- Erie Industrial Park BLDG 360
Port Clinton, OH 43452-9412 - Phone
- (419) 635-2853
- NPI assigned
- Nov 20, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Paramedic | 146L00000X | 3201001350 | MI | Primary |
Addresses
Primary practice location
Erie Industrial Park BLDG 360
Port Clinton, OH 43452-9412
Mailing address
6348 Wilmington Dr
Norton Shores, MI 49444-7893
Phone (231) 780-7402
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3201001350 | MI | MD | Paramedic |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1235904343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6348 WILMINGTON DR",
"city": "NORTON SHORES",
"state": "MI",
"postal_code": "494447893",
"telephone_number": "231-780-7402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ERIE INDUSTRIAL PARK BLDG 360",
"city": "PORT CLINTON",
"state": "OH",
"postal_code": "434529412",
"telephone_number": "419-635-2853"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLTHOF",
"first_name": "TODD",
"middle_name": "WILLIAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-11-20",
"last_updated": "2023-11-20",
"certification_date": "2023-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "MI",
"license": "3201001350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Port Clinton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.