Active NPI
Malikah Ford, PHLEBOTOMIST
- Technician/Technologist
- Toledo, OH
National Provider Identifier
1558604355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Technician/Technologist
- Practice address
- 3535 Watson Ave
Toledo, OH 43612-1036 - Phone
- (330) 388-4858
- NPI assigned
- Mar 29, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 400605620407 | OH | |
| Technician/Technologist | 156F00000X | Primary |
Addresses
Primary practice location
3535 Watson Ave
Toledo, OH 43612-1036
Mailing address
3535 Watson Ave
Toledo, OH 43612-1036
Phone (330) 388-4858
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 400605620407 | OH | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654041600000",
"number": "1558604355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3535 WATSON AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436121036",
"telephone_number": "330-388-4858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 WATSON AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436121036",
"telephone_number": "330-388-4858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "MALIKAH",
"credential": "PHLEBOTOMIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-29",
"last_updated": "2022-06-01",
"certification_date": "2022-06-01",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "OH",
"license": "400605620407",
"primary": false
},
{
"code": "156F00000X",
"taxonomy_group": "",
"desc": "Technician/Technologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.