Chad Thebeau, ARRT (R.T.) (MR)

Primary specialty

Magnetic Resonance Imaging (MRI) Internal Medicine PhysicianTaxonomy code 207RM1200X

License

565856 Issued in OH

Practice address

2142 N Cove Blvd
Toledo, OH 43606-3895

Phone

(419) 450-5716

NPI assigned

Apr 22, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1587513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1386264018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6556 W BANCROFT ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436153162",
            "telephone_number": "419-450-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 N COVE BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063895",
            "telephone_number": "419-450-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEBEAU",
        "first_name": "CHAD",
        "credential": "ARRT (R.T.) (MR)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-22",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RM1200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Magnetic Resonance Imaging (MRI)",
            "state": "OH",
            "license": "565856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Toledo Hospital
• The Toledo Hospital
• The Toledo Society for the Blind
• The University of Toledo
• The Willow Center
• Madison Jane Theis
• Shellie Theiss
• Steven Theiss, P.A.
• Kylie Thelen
• Jordan Nicole Thepsourinthone, LISW

• Magnetic Resonance Imaging (MRI) Internal Medicine Physician in Toledo, OH
• Providers in Toledo, OH by specialty
• Magnetic Resonance Imaging (MRI) Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2020; 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.