Active NPI
Toledo Clinic Incorporated
- Durable Medical Equipment & Medical Supplies
- Bowling Green, OH
National Provider Identifier
1407908486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- TOLEDO CLINIC INCORPORATED
- Practice address
- 960 W Wooster St
Suite 111
Bowling Green, OH 43402-2644 - Phone
- (419) 353-5419
- NPI assigned
- Jan 18, 2007
- Organization subpart
- Yes
- Parent organization
- TOLEDO CLINIC INCORPORATED
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael D'Eramo
- Title
- Chief Administrative Officer
- Phone
- (419) 353-5419
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
960 W Wooster St
Suite 111
Bowling Green, OH 43402-2644
Mailing address
4235 Secor Rd
Toledo, OH 43623-4231
Phone (419) 353-5419
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2282175 | Toledo Clinic Cancer Centers | Certificate of waiver | May 16, 2027 |
National Provider Directory
National Provider Directory- Part of
- B Snodgrass MD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1495411200000",
"number": "1407908486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4235 SECOR RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234231",
"telephone_number": "419-353-5419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "960 W WOOSTER ST",
"address_2": "SUITE 111",
"city": "BOWLING GREEN",
"state": "OH",
"postal_code": "434022644",
"telephone_number": "419-353-5419"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOLEDO CLINIC INCORPORATED",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "TOLEDO CLINIC INCORPORATED",
"enumeration_date": "2007-01-18",
"last_updated": "2017-05-22",
"status": "A",
"authorized_official_last_name": "D'ERAMO",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
"authorized_official_telephone_number": "419-353-5419"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bowling Green, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.