NPIMap

Organization Active NPI

Medical College of Ohio Physicians, LLC

Doing business as MCO Family Practice Center

  • Family Medicine Physician
  • Toledo, OH
National Provider Identifier
1659311405
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDICAL COLLEGE OF OHIO PHYSICIANS, LLC
Doing business as
MCO Family Practice Center
Practice address
1015 Garden Lake Pkwy
Toledo, OH 43614-2779
Phone
(419) 383-5500
Fax
(419) 383-5575
NPI assigned
Jun 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mary Rassel
Title
Data Entry Supervisor
Phone
(419) 383-5504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

1015 Garden Lake Pkwy
Toledo, OH 43614-2779

Mailing address

1015 Garden Lake Pkwy
Toledo, OH 43614-2779
Phone (419) 383-5500

Other identifiers 1

IdentifierTypeStateIssuer
2554847MedicaidOH

Other names 1

  • MCO Family Practice Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medical College of Ohio Physicians LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1659311405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 GARDEN LAKE PKWY",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142779",
            "telephone_number": "419-383-5500",
            "fax_number": "419-383-5575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 GARDEN LAKE PKWY",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142779",
            "telephone_number": "419-383-5500",
            "fax_number": "419-383-5575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL COLLEGE OF OHIO PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RASSEL",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "DATA ENTRY SUPERVISOR",
        "authorized_official_telephone_number": "419-383-5504"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2554847",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCO Family Practice 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 Aug 22, 2020; 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.