Organization Active NPI

Toledo Clinic Incorporated

Doing business as Toledo Clinic Cancer Centers

  • Hematology & Oncology Physician
  • Monroe, MI
National Provider Identifier
1639462674
Registry record updated Oct 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
Legal business name
TOLEDO CLINIC INCORPORATED
Doing business as
Toledo Clinic Cancer Centers
Practice address
800 Stewart Road
Suite B
Monroe, MI 48162
Phone
(734) 242-7902
Fax
(734) 242-9199
NPI assigned
May 24, 2011
Last updated
Oct 1, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
TOLEDO CLINIC INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 1, 2013

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

Authorized official

Name
Kristine P Simonsen-Monus
Title
Director, Billing Services
Phone
(419) 473-3561

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X Primary
Durable Medical Equipment & Medical Supplies 332B00000X

Addresses

Primary practice location

800 Stewart Road
Suite B
Monroe, MI 48162

Mailing address

4235 Secor Rd.
Toledo, OH 43623
Phone (419) 473-3561

Other names 1

  • Toledo Clinic Cancer Centers Doing business as

National Provider Directory

National Provider Directory
Part of
Thomas V Abowd MD

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380585600000",
    "number": "1639462674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 SECOR RD.",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43623",
            "telephone_number": "419-473-3561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 STEWART ROAD",
            "address_2": "SUITE B",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "48162",
            "telephone_number": "734-242-7902",
            "fax_number": "734-242-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOLEDO CLINIC INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOLEDO CLINIC INCORPORATED",
        "enumeration_date": "2011-05-24",
        "last_updated": "2013-10-01",
        "status": "A",
        "authorized_official_last_name": "SIMONSEN-MONUS",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "DIRECTOR, BILLING SERVICES",
        "authorized_official_telephone_number": "419-473-3561"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Toledo Clinic Cancer Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2013; 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.