NPIMap

Individual provider Active NPI

Maxwell Joseph Buchwalder

  • Emergency Medicine Physician
  • Toledo, OH
National Provider Identifier
1376076927
Registry record updated Jun 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34.014223 Issued in OH
Practice address
2213 Cherry St, Acc BLDG 1St Floor
Mercy St Vincent Medical Center, Em Residency Program
Toledo, OH 43608
Phone
(419) 251-4724
NPI assigned
Apr 10, 2017
Last updated
Jun 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34.014223 OH Primary

Addresses

Primary practice location

2213 Cherry St, Acc BLDG 1St Floor
Mercy St Vincent Medical Center, Em Residency Program
Toledo, OH 43608

Mailing address

2213 Cherry St, Acc BLDG 1St Floor
Mercy St Vincent Medical Center, Em Residency Program
Toledo, OH 43608
Phone (419) 251-4724

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200713002489 OH Practitioner - Emergency Medicine 1254601883 Reassigns benefits to 5 organizations
I20200910002795 MI Practitioner - Emergency Medicine 1254601883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Observation Physicians of Northwest Ohio LLCGroup PAC ID 7416365630, 37 clinicians
Emergency Physicians of Northwest Ohio, Inc.Group PAC ID 3375456478, 102 clinicians

Practice addresses (Care Compare)

2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (567) 408-2002

718 N Macomb St
Monroe, MI 48162-7815
Phone (734) 240-8400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.25 of 100Reported as group
Quality
96.55
Improvement activities
40
Cost
89.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34.014223OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians of Northwest Ohio Inc. Emergency Medicine CurrentSince Sep 1, 2020 Accepting new patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince Jun 1, 2020 Accepting new patients
The Toledo Hospital Current Accepting new patients
Mercy Emergency Care Services, Inc. Emergency Medicine CurrentSince Jul 1, 2020 Accepting new patients
Observation Physicians of Northwest Ohio LLC Emergency Medicine CurrentSince Apr 1, 2021 Accepting new patients
The Toledo Hospital CurrentSince Jul 15, 2024 Accepting new patients
The Toledo Hospital CurrentSince Jul 15, 2024 Accepting new patients
Haematology-Oncology Associates of Ohio and Michigan PC Current Accepting new patients
Consultants in Laboratory Medicine of Greater Toledo Current Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

1075 Medical Center Pkwy
Maumee, OH 43537
Phone (567) 585-0800

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593302400000",
    "number": "1376076927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 CHERRY ST, ACC BLDG 1ST FLOOR",
            "address_2": "MERCY ST VINCENT MEDICAL CENTER, EM RESIDENCY PROGRAM",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43608",
            "telephone_number": "419-251-4724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 CHERRY ST, ACC BLDG 1ST FLOOR",
            "address_2": "MERCY ST VINCENT MEDICAL CENTER, EM RESIDENCY PROGRAM",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43608",
            "telephone_number": "419-251-4724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUCHWALDER",
        "first_name": "MAXWELL",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-10",
        "last_updated": "2020-06-28",
        "certification_date": "2020-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.014223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.