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
- Practice address
- 1090 N Shoop Ave
Wauseon, OH 43567-1821 - Phone
- (419) 330-5200
- NPI assigned
- May 11, 2018
- 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 identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0080302 | Medicaid | OH |
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
341 Trenton Ave
Findlay, OH 45840
Phone (567) 250-8212
1090 N Shoop Ave
Wauseon, OH 43567
Phone (419) 330-5200
Practitioners & affiliated clinicians
Practitioners 18
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- 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": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0080302",
"state": "OH"
}
],
"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.