Active NPI
Toledo Clinic Incorporated
- Durable Medical Equipment & Medical Supplies
- Adrian, MI
National Provider Identifier
1255483038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- TOLEDO CLINIC INCORPORATED
- Practice address
- 777 Kimole LN
Suite 130
Adrian, MI 49221-1478 - Phone
- (517) 265-0292
- NPI assigned
- Jan 18, 2007
- Organization subpart
- Yes
- Parent organization
- TOLEDO CLINIC INCORPORATED
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Deramo
- Title
- Administrator
- Phone
- (419) 473-3561
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
777 Kimole LN
Suite 130
Adrian, MI 49221-1478
Mailing address
4235 Secor Rd
Toledo, OH 43623-4231
Phone (517) 265-0292
National Provider Directory
National Provider Directory- Part of
- B Snodgrass MD
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Dermatology Physician
- Lambertville, MI
- NPI 1700842796
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1474934400000",
"number": "1255483038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4235 SECOR RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234231",
"telephone_number": "517-265-0292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 KIMOLE LN",
"address_2": "SUITE 130",
"city": "ADRIAN",
"state": "MI",
"postal_code": "492211478",
"telephone_number": "517-265-0292"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOLEDO CLINIC INCORPORATED",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TOLEDO CLINIC INCORPORATED",
"enumeration_date": "2007-01-18",
"last_updated": "2016-09-27",
"status": "A",
"authorized_official_last_name": "DERAMO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "419-473-3561"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Adrian, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.