Active NPI
West Park Family Physicians, Inc.
- Family Medicine Physician
- Toledo, OH
National Provider Identifier
1639139199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- WEST PARK FAMILY PHYSICIANS, INC.
- Practice address
- 4041 W Sylvania Ave
Suite 100
Toledo, OH 43623-4465 - Phone
- (419) 472-1124
- Fax
- (419) 486-8857
- NPI assigned
- Mar 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mark D Hillard, M.D.
- Title
- President
- Phone
- (419) 472-1124
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
4041 W Sylvania Ave
Suite 100
Toledo, OH 43623-4465
Mailing address
4041 W Sylvania Ave
Suite 100
Toledo, OH 43623-4465
Phone (419) 472-1124
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH5592 | Other | OH | RAILROAD MEDICARE |
| 2230482 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
3922 Woodley Rd
Ste 100
Toledo, OH 43606
Phone (419) 291-2121
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Toledo, OH
- NPI 1881699635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1257465600000",
"number": "1639139199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4041 W SYLVANIA AVE",
"address_2": "SUITE 100",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234465",
"telephone_number": "419-472-1124",
"fax_number": "419-486-8857"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4041 W SYLVANIA AVE",
"address_2": "SUITE 100",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436234465",
"telephone_number": "419-472-1124",
"fax_number": "419-486-8857"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEST PARK FAMILY PHYSICIANS, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-27",
"last_updated": "2009-11-06",
"status": "A",
"authorized_official_last_name": "HILLARD",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "419-472-1124",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CH5592",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2230482",
"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 Nov 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.