Organization Active NPI

The Orthopaedic Network, Inc.

  • Surgery Physician
  • Toledo, OH
National Provider Identifier
1518070804
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
THE ORTHOPAEDIC NETWORK, INC.
Practice address
7630 Kings Pointe Rd
Toledo, OH 43617-1500
Phone
(419) 517-7500
Fax
(419) 517-7501
NPI assigned
Aug 17, 2006
Last updated
Jun 6, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
THE ORTHOPAEDIC NETWORK INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Authorized official

Name
Thomas Guido Andreshak, MDNPI 1447364773
Title
President
Phone
(419) 517-7500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary
Physical Therapist 225100000X

Addresses

Primary practice location

7630 Kings Pointe Rd
Toledo, OH 43617-1500

Mailing address

7630 Kings Pointe Rd
Toledo, OH 43617-1500
Phone (419) 517-7500

Other identifiers 2

IdentifierTypeStateIssuer
2581746MedicaidOH
2320867MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031205000571 OH Part B Supplier - Clinic/Group Practice 3779488374 Receives reassigned benefits from 6 practitioners
6 other NPIs on this enrollment
Practice locations: Toledo, OH; Bowling Green, OH

National Provider Directory

National Provider Directory
Part of
The Orthopaedic Network Inc

Locations

10211 Auburn Park Dr
Fort Wayne, IN 46825

10540 Fremont Pike
Perrysburg, OH 43551
Phone (419) 874-3578

28546 Starbright Blvd
Perrysburg, OH 43551
Phone (419) 660-0935

5750 Alexis Rd
Sylvania, OH 43560
Phone (419) 824-0300

5757 Whiteford Rd
Sylvania, OH 43560
Phone (419) 882-1875

6444 Monroe St
Ste A
Sylvania, OH 43560
Phone (419) 885-2553

1600 N Superior St
Toledo, OH 43604
Phone (419) 729-6000

2865 N Reynolds Rd
Toledo, OH 43615
Phone (419) 578-2700

4293 Monroe St
Toledo, OH 43606
Phone (419) 464-6021

Practitioners & affiliated clinicians

Practitioners 31

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 31

NPI Registry JSON

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

{
    "created_epoch": "1155772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559779200000",
    "number": "1518070804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7630 KINGS POINTE RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171500",
            "telephone_number": "419-517-7500",
            "fax_number": "419-517-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7630 KINGS POINTE RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171500",
            "telephone_number": "419-517-7500",
            "fax_number": "419-517-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ORTHOPAEDIC NETWORK, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE ORTHOPAEDIC NETWORK INC",
        "enumeration_date": "2006-08-17",
        "last_updated": "2019-06-06",
        "status": "A",
        "authorized_official_last_name": "ANDRESHAK",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "GUIDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-517-7500",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2581746",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2320867",
            "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 Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.