NPIMap

Organization Active NPI

Midwest Emergency Associates-Sylvania, LLC

  • Emergency Medicine Physician
  • Sylvania, OH
National Provider Identifier
1417138496
Registry record updated Nov 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
MIDWEST EMERGENCY ASSOCIATES-SYLVANIA, LLC
Practice address
5200 Harroun Rd
Sylvania, OH 43560-2168
Phone
(419) 824-1444
NPI assigned
Nov 19, 2007
Last updated
Nov 19, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2007

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

Authorized official

Name
Leigh Hanback
Title
Business Analyst
Phone
(630) 785-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

5200 Harroun Rd
Sylvania, OH 43560-2168

Mailing address

1 Transam Plaza Dr
Suite 360
Oakbrook Terrace, IL 60181-4822
Phone (630) 785-9100

National Provider Directory

National Provider Directory

Locations

1 Transam Plaza Dr
Ste 360
Oakbrook Terrace, IL 60181
Phone (630) 785-9100

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195430400000",
    "number": "1417138496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TRANSAM PLAZA DR",
            "address_2": "SUITE 360",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814822",
            "telephone_number": "630-785-9100",
            "fax_number": "630-785-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 HARROUN RD",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435602168",
            "telephone_number": "419-824-1444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST EMERGENCY ASSOCIATES-SYLVANIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-11-19",
        "status": "A",
        "authorized_official_last_name": "HANBACK",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_title_or_position": "BUSINESS ANALYST",
        "authorized_official_telephone_number": "630-785-9100"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylvania, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2007; 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.