Active NPI
Anthony Macino
- Specialist
- Toledo, OH
National Provider Identifier
1609963370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 3140 W Sylvania Ave
Toledo, OH 43613-4133 - Phone
- (419) 824-5063
- Fax
- (419) 824-0216
- NPI assigned
- Oct 6, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
3140 W Sylvania Ave
Toledo, OH 43613-4133
Mailing address
3140 W Sylvania Ave
Toledo, OH 43613-4133
Phone (419) 824-5063
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2638186 | Medicaid | OH | |
| 203316143002 | Other | OH | MEDICAL MUTUAL OF OHIO |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160092800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1609963370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3140 W SYLVANIA AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436134133",
"telephone_number": "419-824-5063",
"fax_number": "419-824-0216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3140 W SYLVANIA AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436134133",
"telephone_number": "419-824-5063",
"fax_number": "419-824-0216"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACINO",
"first_name": "ANTHONY",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2638186",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL OF OHIO",
"identifier": "203316143002",
"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 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.