Optimum Health Restoration and Anti-Aging - Toledo, LLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

OPTIMUM HEALTH RESTORATION AND ANTI-AGING - TOLEDO, LLC

Practice address

4041 Sylvania Avenue
Toledo, OH 43623

Phone

(614) 539-4128

NPI assigned

Apr 4, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Roy C Korth Jr., DC

Title

Sole Member

Phone

(614) 539-4128

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522800000000",
    "number": "1447756804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3699 GARDEN COURT",
            "city": "GROVE CITY",
            "state": "OH",
            "postal_code": "43123",
            "telephone_number": "614-539-4128",
            "fax_number": "888-631-0223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4041 SYLVANIA AVENUE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43623",
            "telephone_number": "614-539-4128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM HEALTH RESTORATION AND ANTI-AGING - TOLEDO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-04",
        "last_updated": "2018-04-04",
        "status": "A",
        "authorized_official_last_name": "KORTH",
        "authorized_official_first_name": "ROY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "614-539-4128",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Physician in Toledo, OH
• Providers in Toledo, OH by specialty
• General Practice Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.