NPIMap

Organization Active NPI

Toledo Joint Replacement and Orthopaedic Center

  • Orthopaedic Surgery Physician
  • Toledo, OH
National Provider Identifier
1508848342
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
35-055589 Issued in OH
Legal business name
TOLEDO JOINT REPLACEMENT AND ORTHOPAEDIC CENTER
Practice address
4126 N Holland Sylvania Rd
Suite 100
Toledo, OH 43623-3536
Phone
(419) 843-5633
Fax
(419) 843-5670
NPI assigned
Nov 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Scott W. Siverhus, M.D.
Title
President Owner
Phone
(419) 843-5633

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X 35-055589 OH Primary
Adult Reconstructive Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207XS0114X 35-055589 OH
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

4126 N Holland Sylvania Rd
Suite 100
Toledo, OH 43623-3536

Mailing address

4126 N Holland Sylvania Rd
Suite 100
Toledo, OH 43623-3536
Phone (419) 843-5633

Other identifiers 2

IdentifierTypeStateIssuer
1187660001OtherOHDMERC
CF8096OtherOHRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

10211 Auburn Park Dr
Fort Wayne, IN 46825

NPI Registry JSON

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1508848342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 N HOLLAND SYLVANIA RD",
            "address_2": "SUITE 100",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233536",
            "telephone_number": "419-843-5633",
            "fax_number": "419-843-5670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 N HOLLAND SYLVANIA RD",
            "address_2": "SUITE 100",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233536",
            "telephone_number": "419-843-5633",
            "fax_number": "419-843-5670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOLEDO JOINT REPLACEMENT AND ORTHOPAEDIC CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "SIVERHUS",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "419-843-5633",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "OH",
            "license": "35-055589",
            "primary": true
        },
        {
            "code": "207XS0114X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "OH",
            "license": "35-055589",
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "1187660001",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CF8096",
            "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 Apr 20, 2008; 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.