NPIMap

Organization Active NPI

Genito Urinary Surgeons, Inc.

  • Urology Physician
  • Toledo, OH
National Provider Identifier
1407853443
Registry record updated Aug 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
404293 Issued in OH
Legal business name
GENITO URINARY SURGEONS, INC.
Practice address
3500 Executive Pkwy
Toledo, OH 43606-1319
Phone
(419) 531-8558
Fax
(419) 531-8798
NPI assigned
Jul 6, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2012

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

Authorized official

Name
Emmett T Boyle Jr., MDNPI 1811992654
Title
Partner
Phone
(419) 531-8558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 404293 OH Primary

Addresses

Primary practice location

3500 Executive Pkwy
Toledo, OH 43606-1319

Mailing address

3500 Executive Pkwy
Toledo, OH 43606-1319
Phone (419) 531-8558

Other identifiers 1

IdentifierTypeStateIssuer
0327720MedicaidOH

National Provider Directory

National Provider Directory

Locations

3170 W Central Ave
Fl 2
Toledo, OH 43606

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343952000000",
    "number": "1407853443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 EXECUTIVE PKWY",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061319",
            "telephone_number": "419-531-8558",
            "fax_number": "419-531-8798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 EXECUTIVE PKWY",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061319",
            "telephone_number": "419-531-8558",
            "fax_number": "419-531-8798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENITO URINARY SURGEONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-06",
        "last_updated": "2012-08-03",
        "status": "A",
        "authorized_official_last_name": "BOYLE",
        "authorized_official_first_name": "EMMETT",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "419-531-8558",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "OH",
            "license": "404293",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0327720",
            "state": "OH"
        }
    ],
    "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 Aug 3, 2012; 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.