Organization Active NPI

Macinos Comfort Shoes and Orthotics LTD

  • Durable Medical Equipment & Medical Supplies
  • Toledo, OH
National Provider Identifier
1639238959
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MACINOS COMFORT SHOES AND ORTHOTICS LTD
Practice address
3140 W Sylvania Ave
Toledo, OH 43613-4133
Phone
(419) 475-3996
Fax
(419) 475-3644
NPI assigned
Dec 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Authorized official

Name
Mr. Anthony William MacinoNPI 1609963370
Title
Owner
Phone
(419) 475-3996

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 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) 475-3996

Other identifiers 1

IdentifierTypeStateIssuer
2638186MedicaidOH

National Provider Directory

National Provider Directory

Locations

3140 W Sylvania Ave
Toledo, OH 43613
Phone (419) 475-3996

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": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1639238959",
    "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": "419-475-3996",
            "fax_number": "419-475-3644"
        },
        {
            "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": "419-475-3996",
            "fax_number": "419-475-3644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACINOS COMFORT SHOES AND ORTHOTICS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "MACINO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-475-3996",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2638186",
            "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 Aug 26, 2015; 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.