Syl-Haven Medical Clinic, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SYL-HAVEN MEDICAL CLINIC, INC.

Practice address

106 W 3Rd St
Perrysburg, OH 43551-1411

Phone

(419) 794-1006

Fax

(419) 873-6599

NPI assigned

May 23, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Nicholas Espinoza, MD

Title

Owner

Phone

(419) 794-1006

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463961600000",
    "number": "1316394075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W 3RD ST",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511411",
            "telephone_number": "419-794-1006",
            "fax_number": "419-873-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W 3RD ST",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511411",
            "telephone_number": "419-794-1006",
            "fax_number": "419-873-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYL-HAVEN MEDICAL CLINIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-05-23",
        "status": "A",
        "authorized_official_last_name": "ESPINOZA",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-794-1006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Renae Sutherland, D.O.
• Joel R Sutton, PH.D., P.C.C.
• Benjamin Jeffery Swartz, MD
• Kristin Marie Swartz, ATC
• Aldena K Sweeney, LCDCIII
• Casey Joseph Szczublewski
• Tracy Szirony, APN - CNP
• Diana Lee Szymanski, RPH
• Abdel Kader Tal, M.D.
• Tangible Habits, LLC.

• Family Medicine Physician in Perrysburg, OH
• Providers in Perrysburg, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 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.

Verify at the official NPI Registry.