Active NPI
Janelle Crozier Sullivan, MD
- Pediatrics Physician
- Toledo, OH
National Provider Identifier
1609365857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35.141032
- Practice address
- 3900 Sunforest CT Ste 215
Toledo, OH 43623-4440 - Phone
- (419) 473-6670
- NPI assigned
- May 3, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35.141032 | OH | Primary |
Addresses
Primary practice location
3900 Sunforest CT Ste 215
Toledo, OH 43623-4440
Mailing address
2702 Navarre Ave Ste 106
Oregon, OH 43616-3224
Phone (419) 697-6777
Other practice location 1
2702 Navarre Ave Ste 106
Oregon, OH 43616-3224
Phone (419) 697-6777
Other practice location 2
3309 Quail Hollow Dr Ste C
Lambertville, MI 48144-8688
Phone (734) 854-2428
Other names 1
- Janelle Nichole Crozier
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.141032 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Pediatric Center, Inc. | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Toledo, OH
- NPI 1407995723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629849600000",
"number": "1609365857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2702 NAVARRE AVE STE 106",
"city": "OREGON",
"state": "OH",
"postal_code": "436163224",
"telephone_number": "419-697-6777",
"fax_number": "419-697-6712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3900 SUNFOREST CT STE 215",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234440",
"telephone_number": "419-473-6670"
}
],
"practiceLocations": [
{
"address_1": "2702 Navarre Ave Ste 106",
"address_purpose": "LOCATION",
"city": "Oregon",
"state": "OH",
"postal_code": "436163224",
"country_code": "US",
"telephone_number": "419-697-6777",
"fax_number": "419-697-6712",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3309 Quail Hollow Dr Ste C",
"address_purpose": "LOCATION",
"city": "Lambertville",
"state": "MI",
"postal_code": "481448688",
"country_code": "US",
"telephone_number": "734-854-2428",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SULLIVAN",
"first_name": "JANELLE",
"middle_name": "CROZIER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-03",
"last_updated": "2021-08-25",
"certification_date": "2021-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35.141032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JANELLE",
"last_name": "CROZIER",
"middle_name": "NICHOLE",
"code": "1",
"type": "Former Name"
}
]
}
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 Aug 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.