Organization Active NPI

Children & Adolescents Quality Care

Doing business as Toledo Pediatric Associates

  • Pediatrics Physician
  • Toledo, OH
National Provider Identifier
1407987373
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35073548 Issued in OH
Legal business name
CHILDREN & ADOLESCENTS QUALITY CARE
Doing business as
Toledo Pediatric Associates
Practice address
4126 N Holland Sylvania Rd
Suite 140
Toledo, OH 43623-2504
Phone
(419) 472-7755
Fax
(419) 472-8811
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Hussein I Kashk, M.D
Title
Physician
Phone
(419) 472-7755

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 35073548 OH Primary

Addresses

Primary practice location

4126 N Holland Sylvania Rd
Suite 140
Toledo, OH 43623-2504

Mailing address

4126 N Holland Sylvania Rd
Suite 140
Toledo, OH 43623-2504
Phone (419) 472-7755

Other identifiers 1

IdentifierTypeStateIssuer
2052013MedicaidOH

Other names 1

  • Toledo Pediatric Associates Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407987373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 N HOLLAND SYLVANIA RD",
            "address_2": "SUITE 140",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436232504",
            "telephone_number": "419-472-7755",
            "fax_number": "419-472-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 N HOLLAND SYLVANIA RD",
            "address_2": "SUITE 140",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436232504",
            "telephone_number": "419-472-7755",
            "fax_number": "419-472-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN & ADOLESCENTS QUALITY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KASHK",
        "authorized_official_first_name": "HUSSEIN",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "419-472-7755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35073548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2052013",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Toledo Pediatric Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 22, 2020; 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.