Mercy Health Physicians North Specialty Care LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

Legal business name

MERCY HEALTH PHYSICIANS NORTH SPECIALTY CARE LLC

Practice address

521 Louisiana Ave
Perrysburg, OH 43551-2272

Phone

(419) 874-6888

Fax

(419) 848-6891

NPI assigned

Oct 13, 2021

Last updated

Oct 13, 2021By 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

Wilbur Gay

Title

Cfo

Phone

(864) 605-3762

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Mercy Health Physicians North Specialty Care LLC

  • Surgery Physician
  • Toledo, OH
  • NPI 1306468418

  1951707884

  Same PAC ID
• Mercy Health Physicians North Specialty Care LLC

  • Customized Equipment (DME)
  • Oregon, OH
  • NPI 1942962386

  1951707884

  Same PAC ID

Tax ID family

Mercy Health Physicians North Specialty Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mercy Health Physicians North Specialty Care LLC

  • Customized Equipment (DME)
  • Oregon, OH
  • NPI 1942962386
  NPD tax ID

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1255093597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631336",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452631336",
            "telephone_number": "888-696-3541",
            "fax_number": "513-952-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 LOUISIANA AVE",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435512272",
            "telephone_number": "419-874-6888",
            "fax_number": "419-848-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH PHYSICIANS NORTH SPECIALTY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "WILBUR",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "864-605-3762"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystle G Mendez
• Ashley Menke
• Glenda Lou Mensing, LPN
• Mercy Health - St Anne Hospital LLC (Mercy Health Perrysburg Outpatient Pharmacy)
• Mercy Health Physicians - North, LLC (Mercy Health - Perrysburg Podiatry)
• Mercy Health-St Charles Hospital LLC (St Charles Mercy Medical Plaza)
• Megan Merrell
• Nathan Messiter, LPC
• Maura Metcalf, RBT
• Dara Meyer

• Customized Equipment (DME) in Perrysburg, OH
• Providers in Perrysburg, OH by specialty
• Customized Equipment (DME) in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.