Individual provider Active NPI

Carolyn S Gbur, MD

  • Cardiovascular Disease Physician
  • Perrysburg, OH
National Provider Identifier
1386646685
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35059568G Issued in OH
Practice address
1601 Brigham Dr Ste 150
Perrysburg, OH 43551-7120
Phone
(419) 794-7700
Fax
(419) 794-7715
NPI assigned
Jun 1, 2005
Last updated
Aug 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35059568G OH Primary

Addresses

Primary practice location

1601 Brigham Dr Ste 150
Perrysburg, OH 43551-7120

Mailing address

1601 Brigham Dr Ste 150
Perrysburg, OH 43551-7120
Phone (419) 794-7700

Other identifiers 9

IdentifierTypeStateIssuer
4980009MedicaidMI
611448753028OtherOHCARESOURCE
000000476153OtherOHANTHEM
01716OtherOHPARAMOUNT
4980018MedicaidMI
4980027MedicaidMI
P00431214OtherRRMC
0671705MedicaidOH
4502161OtherOHAETNA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cgbur13493@epicdirect.promedica.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031222000661 OH Practitioner - Cardiovascular Disease (Cardiology) 0446158976 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Ohio State University College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2940 N McCord Rd
Toledo, OH 43615-1753
Phone (419) 842-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35059568GOHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians North Specialty Care LLC Cardiovascular Disease CurrentSince Sep 1, 2021 Accepting new patients
Promedica Northwest Ohio Cardiology Consultants, LLC Cardiovascular Disease CurrentSince Oct 1, 2020 Accepting new patients
Promedica Northwest Ohio Cardiology Consultants Cardiovascular Disease CurrentSince Oct 1, 2020 Accepting new patients
Midwest Cardiovascular Consultants LLC Cardiovascular Disease Past Accepting new patients
Northwest Ohio Cardiology Consultants- PC Past Accepting new patients

Locations

500 E Pottawatamie St
Tecumseh, MI 49286
Phone (517) 266-0525

715 S Taft Ave
Ste 195
Fremont, OH 43420
Phone (419) 333-9533

5705 Monclova Rd
Ste 201
Maumee, OH 43537
Phone (419) 704-7472

1600 E Riverview Ave
Napoleon, OH 43545
Phone (260) 344-3045

1103 Village Square Dr
Ste 202
Perrysburg, OH 43551
Phone (419) 251-8013

1601 Brigham Dr
Ste 120
Perrysburg, OH 43551
Phone (419) 872-7703

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

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

2940 N McCord Rd
Toledo, OH 43615
Phone (419) 842-3000

333 N Summit St
Fl 7
Toledo, OH 43604
Phone (419) 252-5909

3404 W Sylvania Ave
Toledo, OH 43623
Phone (419) 407-1422

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

Interoperability endpoints

  • Direct secure messaging: cgbur13493@direct.promedica.org

Organizations & group practices 6

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 6

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1386646685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 BRIGHAM DR STE 150",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435517120",
            "telephone_number": "419-794-7700",
            "fax_number": "419-794-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 BRIGHAM DR STE 150",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435517120",
            "telephone_number": "419-794-7700",
            "fax_number": "419-794-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GBUR",
        "first_name": "CAROLYN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35059568G",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4980009",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "611448753028",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000476153",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "01716",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4980018",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4980027",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMC",
            "identifier": "P00431214",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0671705",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4502161",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cgbur13493@epicdirect.promedica.org",
            "affiliation": "N",
            "address_1": "1601 Brigham Dr Ste 150",
            "city": "Perrysburg",
            "state": "OH",
            "country_code": "US",
            "postal_code": "435517120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.