Organization Active NPI

Cardiothoracic Surgeons for NW Ohio, Inc.

  • Specialist
  • Toledo, OH
National Provider Identifier
1306874482
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
CARDIOTHORACIC SURGEONS FOR NW OHIO, INC.
Practice address
2109 Hughes Dr Ste 720
Toledo, OH 43606-5110
Phone
(419) 291-2077
Fax
(419) 291-2122
NPI assigned
Jun 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Ms. Kathyrn Ann Stull
Title
Office Manager
Phone
(419) 291-2077

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2109 Hughes Dr Ste 720
Toledo, OH 43606-5110

Mailing address

2109 Hughes Dr Ste 720
Toledo, OH 43606-5110
Phone (419) 291-2077

Other identifiers 1

IdentifierTypeStateIssuer
2079192MedicaidOH

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1306874482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 HUGHES DR STE 720",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436065110",
            "telephone_number": "419-291-2077",
            "fax_number": "419-291-2122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 HUGHES DR STE 720",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436065110",
            "telephone_number": "419-291-2077",
            "fax_number": "419-291-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOTHORACIC SURGEONS FOR NW OHIO, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "STULL",
        "authorized_official_first_name": "KATHYRN",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "419-291-2077",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2079192",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; 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.