Individual provider Active NPI

Nicholas Liaw, MD

  • Vascular Neurology Physician
  • Toledo, OH
National Provider Identifier
1437543345
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Neurology PhysicianTaxonomy code 2084V0102X
License
35.139873 Issued in OH
Practice address
2213 Cherry St Ste M200
Toledo, OH 43608-2603
Phone
(419) 251-8019
Fax
(419) 251-5819
NPI assigned
Mar 28, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Neurology Physician 2084V0102X 35.139873 OH Primary

Addresses

Primary practice location

2213 Cherry St Ste M200
Toledo, OH 43608-2603

Mailing address

2200 Jefferson Ave FL 5
Toledo, OH 43604-7102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NV, CA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20201007000718 OH Practitioner - Neurosurgery 8527487735 Reassigns benefits to 2 organizations
I20221130002654 NV Practitioner - Vascular Surgery 8527487735 Reassigns benefits to 1 organization
I20240229004616 CA Practitioner - Vascular Surgery 8527487735 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
State University of New York at Buffalo School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vascular Neurology of Southern California IncGroup PAC ID 0143558643, 8 clinicians

Practice addresses (Care Compare)

2190 Lynn Rd
Suite 300
Thousand Oaks, CA 91360-8024
Phone (805) 242-4884

Hospital & facility affiliations

  • Antelope Valley Hospital Hospital, Lancaster, CA, CCN 050056
  • Los Robles Hospital & Medical Center Hospital, Thousand Oaks, CA, CCN 050549
  • Ridgecrest Regional Hospital Hospital, Ridgecrest, CA, CCN 051333
  • UCLA West Valley Medical Center Hospital, West Hills, CA, CCN 050481

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians - North, LLC CurrentSince Sep 30, 2020 Accepting new patients
Mercy Health Physicians-North LLC Family Medicine CurrentSince Sep 30, 2020 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Vascular Neurology Las Vegas LLC Vascular Neurology CurrentSince Dec 1, 2022 Accepting new patients
Vascular Neurology of Southern California Inc CurrentSince Jan 1, 2024 Accepting new patients
Mercy Health-St Charles Hospital LLC Past Accepting new patients
Los Robles Regional Medical Center Past Accepting new patients
Mercy Health - Defiance Hospital LLC Past Accepting new patients
Mercy Health - St Vincent Medical Center LLC Past Accepting new patients
Highline Medical Center Past Accepting new patients
Antelope Valley Health Care District Past Accepting new patients
Mercy Health - Tiffin Hospital LLC Past Accepting new patients
West Hills Hospital Past Accepting new patients
Mercy Health - St Vincent Medical Center LLC Past Accepting new patients
Mercy Health - Willard Hospital LLC Past Accepting new patients

Locations

44105 15th St W
Ste 204
Lancaster, CA 93534
Phone (661) 949-5833

2190 Lynn Rd
Ste 300
Thousand Oaks, CA 91360
Phone (805) 242-4884

2190 Lynn Rd
Ste 380
Thousand Oaks, CA 91360
Phone (805) 242-4884

7320 Woodlake Ave
Ste 170
West Hills, CA 91307
Phone (805) 242-4884

3201 S Maryland Pkwy
Ste 318
Las Vegas, NV 89109
Phone (702) 629-7490

3196 S Maryland Pkwy
Ste 405
Las Vegas, NV 89109
Phone (702) 707-6960

2222 Cherry St
Ste M200
Toledo, OH 43608
Phone (419) 251-1155

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

2213 Cherry St
Ste M200
Toledo, OH 43608
Phone (419) 251-8019

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: nicholas.liaw@200733209001988.direct.elationemr.com

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 16

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1427500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1437543345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 JEFFERSON AVE FL 5",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436047102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 CHERRY ST STE M200",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082603",
            "telephone_number": "419-251-8019",
            "fax_number": "419-251-5819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIAW",
        "first_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-28",
        "last_updated": "2020-10-21",
        "certification_date": "2020-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084V0102X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Vascular Neurology",
            "state": "OH",
            "license": "35.139873",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.