Organization Active NPI

Anyse J. Storey, M.D., L.L.C.

  • Urology Physician
  • Toledo, OH
National Provider Identifier
1508164369
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
35051590 Issued in OH
Legal business name
ANYSE J. STOREY, M.D., L.L.C.
Practice address
5122 Heatherdowns Blvd
Suite 102
Toledo, OH 43614-2182
Phone
(419) 385-0566
Fax
(419) 385-0260
NPI assigned
Mar 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Authorized official

Name
Dr. Anyse J Storey, M.D.
Title
Owner
Phone
(419) 385-0566

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 35051590 OH Primary

Addresses

Primary practice location

5122 Heatherdowns Blvd
Suite 102
Toledo, OH 43614-2182

Mailing address

5122 Heatherdowns Blvd
Suite 102
Toledo, OH 43614-2182
Phone (419) 385-0566

Other identifiers 1

IdentifierTypeStateIssuer
0710163MedicaidOH

National Provider Directory

National Provider Directory

Locations

1614 S Byrne Rd
Ste Gg
Toledo, OH 43614
Phone (419) 385-0566

5122 Heatherdowns Blvd
Ste 102
Toledo, OH 43614
Phone (419) 385-0566

5122 Heatherdowns Blvd
Ste 103
Toledo, OH 43614
Phone (419) 382-9425

NPI Registry JSON

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

{
    "created_epoch": "1299110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1508164369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5122 HEATHERDOWNS BLVD",
            "address_2": "SUITE 102",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142182",
            "telephone_number": "419-385-0566",
            "fax_number": "419-385-0260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5122 HEATHERDOWNS BLVD",
            "address_2": "SUITE 102",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142182",
            "telephone_number": "419-385-0566",
            "fax_number": "419-385-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANYSE J. STOREY, M.D., L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-03",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "STOREY",
        "authorized_official_first_name": "ANYSE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-385-0566",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "OH",
            "license": "35051590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0710163",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 11, 2013; 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.