Organization Active NPI

Cardiovasular Physicians/Mercy Health Partners,LLC

  • Cardiovascular Disease Physician
  • Toledo, OH
National Provider Identifier
1477548790
Registry record updated Jan 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
CARDIOVASULAR PHYSICIANS/MERCY HEALTH PARTNERS,LLC
Practice address
2409 Cherry St
Toledo, OH 43608-2625
Phone
(419) 251-4169
Fax
(419) 251-3776
NPI assigned
Sep 13, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2010

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

Authorized official

Name
Mrs. Marilyn Marie Gagne, RCIS
Title
Manager
Phone
(419) 251-4169

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X Primary

Addresses

Primary practice location

2409 Cherry St
Toledo, OH 43608-2625

Mailing address

2409 Cherry St
Toledo, OH 43608-2625
Phone (419) 251-4169

Other identifiers 1

IdentifierTypeStateIssuer
2295145MedicaidOH

Other names 1

  • Cardiovascular Diagnostic Institute Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

2409 Cherry St
Ste 1
Toledo, OH 43608
Phone (419) 251-4169

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262822400000",
    "number": "1477548790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 CHERRY ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082625",
            "telephone_number": "419-251-4169",
            "fax_number": "419-251-3776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 CHERRY ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082625",
            "telephone_number": "419-251-4169",
            "fax_number": "419-251-3776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARDIOVASULAR PHYSICIANS/MERCY HEALTH PARTNERS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-13",
        "last_updated": "2010-01-07",
        "status": "A",
        "authorized_official_last_name": "GAGNE",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "419-251-4169",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RCIS"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2295145",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cardiovascular Diagnostic Institute",
            "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 Jan 7, 2010; 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.