Individual provider Active NPI

Mara Perch, D.O.

  • Pediatrics Physician
  • Toledo, OH
National Provider Identifier
1700307626
Registry record updated Oct 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
34014564 Issued in OH
Practice address
3020 N McCord Rd
Toledo, OH 43615-1702
Phone
(419) 517-7658
NPI assigned
Jun 30, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 5101023609 MI
Pediatrics Physician 208000000X 34014564 OH Primary

Addresses

Primary practice location

3020 N McCord Rd
Toledo, OH 43615-1702

Mailing address

4126 N Holland Sylvania Rd Ste 220
Toledo, OH 43623-3537
Phone (419) 517-7644

Other identifiers 1

IdentifierTypeStateIssuer
0409970MedicaidOH

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200720003534 OH Practitioner - Pediatric Medicine 1254755564 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101023609MIMDPediatrics Physician
34014564OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians - North, LLC CurrentSince Jul 31, 2020 Accepting new patients
Northwest Pediatric Specialists, LLC Pediatrics CurrentSince Mar 1, 2022 Accepting new patients
Mercy Health Physicians-North LLC Pediatrics CurrentSince Jul 31, 2020 Accepting new patients
Children'S Hospital Medical Center of Akron Pediatrics Past Accepting new patients

Locations

3521 Briarfield Blvd
Maumee, OH 43537
Phone (419) 794-7259

2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826

3020 N McCord Rd
Ste 100
Toledo, OH 43615
Phone (419) 251-8013

3020 N McCord Rd
Toledo, OH 43615
Phone (419) 251-8013

4126 N Holland Sylvania Rd
Ste 220
Toledo, OH 43623
Phone (419) 517-7600

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4
  • FHIR API: https://hkc.nationwidechildrens.org/FHIR/MYCHART/api/FHIR/R4

Organizations & group practices 4

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": "1498780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729036800000",
    "number": "1700307626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 N HOLLAND SYLVANIA RD STE 220",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233537",
            "telephone_number": "419-517-7644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3020 N MCCORD RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436151702",
            "telephone_number": "419-517-7658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERCH",
        "first_name": "MARA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-30",
        "last_updated": "2024-10-16",
        "certification_date": "2024-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "5101023609",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "34014564",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0409970",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.