Individual provider Active NPI

Stephanie Eileen Zecman, FNP-C

  • Family Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1679190847
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704309554 Issued in MI
Practice address
4235 Secor Rd BLDG 3
Toledo, OH 43623-4231
Phone
(419) 473-3561
NPI assigned
Jul 2, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704309554 MI Primary

Addresses

Primary practice location

4235 Secor Rd BLDG 3
Toledo, OH 43623-4231

Mailing address

1128 Plum Grove Dr
Monroe, MI 48161-9677
Phone (248) 990-5786

Other practice location 1

6800 W Central Ave Ste J
Toledo, OH 43617-1164
Phone (419) 479-5485

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address szecman@toledoclinic.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201030001971 OH Practitioner - Nurse Practitioner 6709296817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Toledo Clinic IncorporatedGroup PAC ID 5698673382, 204 clinicians

Practice addresses (Care Compare)

4235 Secor Rd
Toldeo, OH 43623-4231
Phone (419) 479-5398

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4704309554MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Toledo Clinic Incorporated CurrentSince Oct 15, 2020 Accepting new patients
Toledo Clinic Incorporated Current Accepting new patients
Toledo Clinic Incorporated CurrentSince Oct 15, 2020 Accepting new patients
Toledo Clinic Incorporated Current Accepting new patients
Toledo Clinic Incorporated Past Accepting new patients
Toledo Clinic Incorporated Past Accepting new patients

Locations

4235 Secor Rd
Bldg 3
Toledo, OH 43623
Phone (419) 291-3388

4235 Secor Rd
Toledo, OH 43623
Phone (419) 214-4214

6800 W Central Ave
Ste J
Toledo, OH 43617
Phone (419) 479-5485

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1679190847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1128 PLUM GROVE DR",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481619677",
            "telephone_number": "248-990-5786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4235 SECOR RD BLDG 3",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234231",
            "telephone_number": "419-473-3561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6800 W Central Ave Ste J",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436171164",
            "country_code": "US",
            "telephone_number": "419-479-5485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZECMAN",
        "first_name": "STEPHANIE",
        "middle_name": "EILEEN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704309554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "szecman@toledoclinic.com",
            "affiliation": "N",
            "address_1": "4235 Secor Rd Bldg 3",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436234231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.