University of Toledo Physicians LLC
Organization Active NPI Diagnostic Radiology Physician · Toledo, OH
NPI 1396378261 · NPPES record last updated Feb 22, 2024
Key facts
- NPI
- 1396378261
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- UNIVERSITY OF TOLEDO PHYSICIANS LLC
- Practice address
- 3000 Arlington Ave
Toledo, OH 43614-2595 - Phone
- (419) 383-3426
- Fax
- (419) 383-6422
- NPI assigned
- Feb 19, 2020
- Organization subpart
- Yes
- Parent organization (as reported)
- UNIVERSITY OF TOLEDO PHYSICIANS LLC
Authorized official
- Name
- Tracey Berry, BS, CPCS
- Title
- Director, Medical Staff Services
- Phone
- (419) 383-5330
Other NPIs on the same Medicare enrollment 3
Corporate family (same tax ID) 2
Practitioners 67
-
Samer Akrawi, MD
-
Amro Almradi, M.D.
-
Marina Bernard, LPCC
-
Holly Conover, CNP
-
Dustin James Dean, M.D.
-
Robert S Disalle, MD
-
Franklin G Farid, MD
-
Osama Francis, FNP
-
April Lynn Gardner, MSBS, PA-C
-
Danielle Lee Goodell, CNP
-
Cassandra Haas, PSY.D.
-
Yusef A Hammuda, PA
-
Tonya Hoyt, APRN CNP
-
Kimberly E Hunter, PH.D.
-
Elisabeth B James, PHD
-
Margo Joubran, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031205000019 | OH | Part B Supplier - Clinic/Group Practice | 8729983416 |
Receives reassigned benefits from 583 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Toledo, OH; Wauseon, OH; Upper Sandusky, OH; Waterville, OH; Bowling Green, OH; Bellevue, OH; Bryan, OH; Lima, OH… |
National Provider Directory
- Tax ID family
- University of Toledo Physicians LLC
- Part of
- University of Toledo Physicians LLC
Locations
2100 W Central Ave
Ste 200
Toledo, OH 43606
Phone (419) 291-2051
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician |
2085N0700X | |||
| Nuclear Radiology Physician |
2085N0904X | |||
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
3000 Arlington Ave
Toledo, OH 43614-2595
Mailing address
4510 Dorr St # Ms 840
Toledo, OH 43615-4040
Phone (419) 383-5330
Other names
- Radiology Group
Other providers in Toledo, OH
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- University of Toledo Medical Center
- University of Toledo Medical Ctr - 340B
- University of Toledo Physicians LLC
- University of Toledo Physicians LLC
- University of Toledo Physicians, LLC
- University of Toledo Physicians, LLC
- University of Toledo Physicians, LLC
All providers in Toledo, OH · Diagnostic Radiology Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.