NPIMap

Organization Active NPI

University of Toledo Physicians LLC

  • Anesthesiology Physician
  • Toledo, OH
National Provider Identifier
1669005534
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
UNIVERSITY OF TOLEDO PHYSICIANS LLC
Practice address
3000 Arlington Ave
Toledo, OH 43614-2595
Phone
(419) 383-3556
Fax
(419) 383-3550
NPI assigned
Feb 19, 2020
Last updated
Feb 22, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
UNIVERSITY OF TOLEDO PHYSICIANS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Authorized official

Name
Tracey Berry, BS, CPCS
Title
Director, Medical Staff Services
Phone
(419) 383-5330

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X NU
Anesthesiology Physician 207L00000X NU Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU

Addresses

Primary practice location

3000 Arlington Ave
Toledo, OH 43614-2595

Mailing address

4510 Dorr St # Ms 840
Toledo, OH 43615-4040
Phone (419) 383-5330

Other names 1

  • Anesthesiology Group Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031205000019 OH Part B Supplier - Clinic/Group Practice 8729983416 Receives reassigned benefits from 583 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Toledo, OH; Wauseon, OH; Upper Sandusky, OH; Waterville, OH; Bowling Green, OH; Bellevue, OH; Bryan, OH; Lima, OH…

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
John H Hageman MD

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Locations

3065 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3818

Practitioners & affiliated clinicians

Practitioners 47

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.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708560000000",
    "number": "1669005534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 DORR ST # MS 840",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436154040",
            "telephone_number": "419-383-5330",
            "fax_number": "419-383-6235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 ARLINGTON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142595",
            "telephone_number": "419-383-3556",
            "fax_number": "419-383-3550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF TOLEDO PHYSICIANS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF TOLEDO PHYSICIANS LLC",
        "enumeration_date": "2020-02-19",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A",
        "authorized_official_last_name": "BERRY",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "DIRECTOR, MEDICAL STAFF SERVICES",
        "authorized_official_telephone_number": "419-383-5330",
        "authorized_official_credential": "BS, CPCS"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Anesthesiology Group",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Anesthesiology Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.