Organization Active NPI

Airport Urgent Care & Medical Cente

Doing business as Airport Urgent Care & Medical Center

  • Internal Medicine Physician
  • Toledo, OH
National Provider Identifier
1629033550
Registry record updated Jan 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35-055690 Issued in OH
Legal business name
AIRPORT URGENT CARE & MEDICAL CENTE
Doing business as
Airport Urgent Care & Medical Center
Practice address
5542 Airport Hwy
Toledo, OH 43615-7304
Phone
(419) 865-6522
Fax
(419) 865-6523
NPI assigned
Apr 20, 2006
Last updated
Jan 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2012

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

Authorized official

Name
Bonventure Okoro, MD
Title
President
Phone
(419) 865-6522

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 35-055690 OH Primary

Addresses

Primary practice location

5542 Airport Hwy
Toledo, OH 43615-7304

Mailing address

5542 Airport Hwy
Toledo, OH 43615-7304
Phone (419) 865-6522

Other names 1

  • Airport Urgent Care & Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

5542 Airport Hwy
Toledo, OH 43615
Phone (419) 403-9299

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326240000000",
    "number": "1629033550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5542 AIRPORT HWY",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436157304",
            "telephone_number": "419-865-6522",
            "fax_number": "419-865-6523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5542 AIRPORT HWY",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436157304",
            "telephone_number": "419-865-6522",
            "fax_number": "419-865-6523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AIRPORT URGENT CARE & MEDICAL CENTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2012-01-11",
        "status": "A",
        "authorized_official_last_name": "OKORO",
        "authorized_official_first_name": "BONVENTURE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-865-6522",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35-055690",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Airport Urgent Care & Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 11, 2012; 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.