Executive Medical Care LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

EXECUTIVE MEDICAL CARE LLC

Practice address

4260 Monroe St
Toledo, OH 43606-1944

Phone

(419) 890-4666

NPI assigned

Feb 10, 2023

Last updated

Aug 29, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hassan IsmailNPI 1316583602

Title

Ao

Phone

(419) 890-4666

Specialties & licenses 2

Addresses

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.

• Hassan A Ismail

  • Pharmacist
  • Dearborn, MI
  • NPI 1316583602
  NPD Authorized official

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

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693267200000",
    "number": "1629775580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 EXECUTIVE PLAZA DR STE 201",
            "city": "DEARBORN",
            "state": "MI",
            "postal_code": "481262793",
            "telephone_number": "419-890-4666",
            "fax_number": "419-890-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4260 MONROE ST",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061944",
            "telephone_number": "419-890-4666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXECUTIVE MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-08-29",
        "certification_date": "2023-08-29",
        "status": "A",
        "authorized_official_last_name": "ISMAIL",
        "authorized_official_first_name": "HASSAN",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "419-890-4666"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Traci Lynn Ewing
• Christopher Reed Ewry, CNP
• Excel Medical Group,LLC
• Excel Pharmacy Care LLC
• Executive Home Care LLC
• Explorers Academy of Science and Technology
• Exquisite Care Support Services LLC
• Extended Grace Home and Healthcare Services
• Extendicare
• Eyemart Express

• Multi-Specialty Clinic/Center in Toledo, OH
• Providers in Toledo, OH by specialty
• Multi-Specialty Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2023; 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.