Active NPI
Concertohealth of Ohio LLC
- Family Medicine Physician
- Toledo, OH
National Provider Identifier
1386290302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- CONCERTOHEALTH OF OHIO LLC
- Practice address
- 5553 Southwyck Boulevard
Suite 101
Toledo, OH 43614 - Phone
- (877) 597-1440
- NPI assigned
- Aug 15, 2019
- Organization subpart
- Yes
- Parent organization
- CONCERTO HEALTHCARE INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Bryant
- Title
- Secretary
- Phone
- (949) 689-9526
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
5553 Southwyck Boulevard
Suite 101
Toledo, OH 43614
Mailing address
811 Main Street, 7TH Floor
Attn: LBX 801280
Kansas City, MO 64105
Phone (949) 670-6418
National Provider Directory
National Provider DirectoryLocations
811 Main St
#7
Kansas City, MO 64105
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Manhattan Beach, CA
- NPI 1184951097
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565827200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1720569600000",
"number": "1386290302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "811 MAIN STREET, 7TH FLOOR",
"address_2": "ATTN: LBX 801280",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "64105",
"telephone_number": "949-670-6418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5553 SOUTHWYCK BOULEVARD",
"address_2": "SUITE 101",
"city": "TOLEDO",
"state": "OH",
"postal_code": "43614",
"telephone_number": "877-597-1440"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONCERTOHEALTH OF OHIO LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CONCERTO HEALTHCARE INC",
"enumeration_date": "2019-08-15",
"last_updated": "2024-07-10",
"certification_date": "2024-07-10",
"status": "A",
"authorized_official_last_name": "BRYANT",
"authorized_official_first_name": "JENNIFER",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "949-689-9526"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.