Organization Active NPI

Concertohealth of Ohio LLC

  • Family Medicine Physician
  • Toledo, OH
National Provider Identifier
1386290302
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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 INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.