Active NPI
Toledo Clinic PLLC
- Dermatology Physician
- Wauseon, OH
National Provider Identifier
1326538703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- Legal business name
- TOLEDO CLINIC PLLC
- Doing business as
- Toledo Clinic PLLC
- Practice address
- 1090 N Shoop Ave
Wauseon, OH 43567-1821 - Phone
- (419) 330-5200
- NPI assigned
- May 11, 2018
- Last updated
- Jul 29, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Megan Stansfield
- Title
- Office Manager
- Phone
- (419) 479-5795
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | Primary |
Addresses
Primary practice location
1090 N Shoop Ave
Wauseon, OH 43567-1821
Mailing address
7301 Secor Rd
Lambertville, MI 48144-9737
Phone (419) 479-5795
Other practice location 1
1070 N Shoop Ave
Wauseon, OH 43567-1821
Phone (419) 330-5200
Other practice location 2
341 Trenton Ave
Findlay, OH 45840-3745
Phone (567) 250-8212
Other practice location 3
1100 W Main St
Woodville, OH 43469-9723
Phone (419) 724-5820
Other practice location 4
417 4th St
Defiance, OH 43512-2605
Phone (419) 785-4660
Other names 1
- TOLEDO CLINIC PLLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MI
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20241219001533 | OH | Part B Supplier - Clinic/Group Practice | 8426585142 |
Receives reassigned benefits from 17 practitioners Practice locations: Woodville, OH; Findlay, OH; Defiance, OH; Wauseon, OH |
| O20241223002570 | MI | Part B Supplier - Clinic/Group Practice | 8426585142 |
Receives reassigned benefits from 14 practitioners 1 other NPI on this enrollment Practice locations: South Lyon, MI; Lambertville, MI; Adrian, MI; Monroe, MI |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
1136 Country Club Rd
Adrian, MI 49221
Phone (517) 265-0293
7301 Secor Rd
Lambertville, MI 48144
Phone (419) 479-5795
Practitioners & affiliated clinicians
Practitioners 18
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Radiation Oncology Physician
- Maumee, OH
- NPI 1689670580
-
- Nurse Practitioner
- Wauseon, OH
- NPI 1285917757
-
- MOHS-Micrographic Surgery Physician
- Columbus, GA
- NPI 1487221651
Dermatology, MI, OH
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785283200000",
"number": "1326538703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7301 SECOR RD",
"city": "LAMBERTVILLE",
"state": "MI",
"postal_code": "481449737",
"telephone_number": "419-479-5795",
"fax_number": "419-479-5797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1090 N SHOOP AVE",
"city": "WAUSEON",
"state": "OH",
"postal_code": "435671821",
"telephone_number": "419-330-5200"
}
],
"practiceLocations": [
{
"address_1": "1070 N Shoop Ave",
"address_purpose": "LOCATION",
"city": "Wauseon",
"state": "OH",
"postal_code": "435671821",
"country_code": "US",
"telephone_number": "419-330-5200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "341 Trenton Ave",
"address_purpose": "LOCATION",
"city": "Findlay",
"state": "OH",
"postal_code": "458403745",
"country_code": "US",
"telephone_number": "567-250-8212",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 W Main St",
"address_purpose": "LOCATION",
"city": "Woodville",
"state": "OH",
"postal_code": "434699723",
"country_code": "US",
"telephone_number": "419-724-5820",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "417 4th St",
"address_purpose": "LOCATION",
"city": "Defiance",
"state": "OH",
"postal_code": "435122605",
"country_code": "US",
"telephone_number": "419-785-4660",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "TOLEDO CLINIC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-11",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A",
"authorized_official_last_name": "STANSFIELD",
"authorized_official_first_name": "MEGAN",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "419-479-5795"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "TOLEDO CLINIC PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Wauseon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; 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.