Active NPI
Toledo Regional Pet Scan, LLC
- Nuclear Radiology Physician
- Toledo, OH
National Provider Identifier
1700885696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Radiology Physician
- License
- 1012IC
- Legal business name
- TOLEDO REGIONAL PET SCAN, LLC
- Practice address
- 3442 Granite Cir
Toledo, OH 43617-1160 - Phone
- (419) 843-6600
- NPI assigned
- Jul 21, 2005
- Last updated
- Feb 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Nancy Westrich
- Title
- Managing Partner
- Phone
- (216) 292-9998
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Radiology Physician | 2085N0904X | 1012IC | OH | Primary |
Addresses
Primary practice location
3442 Granite Cir
Toledo, OH 43617-1160
Mailing address
3733 Park East Dr
Suite 100
Beachwood, OH 44122-4338
Phone (216) 292-9998
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2485798 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
3442 Granite Cir
Toledo, OH 43617
Phone (419) 843-6600
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Diagnostic Radiology Physician
- Cleveland, OH
- NPI 1194775643
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202256000000",
"number": "1700885696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3733 PARK EAST DR",
"address_2": "SUITE 100",
"city": "BEACHWOOD",
"state": "OH",
"postal_code": "441224338",
"telephone_number": "216-292-9998",
"fax_number": "216-292-9799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3442 GRANITE CIR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436171160",
"telephone_number": "419-843-6600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOLEDO REGIONAL PET SCAN, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-21",
"last_updated": "2008-02-06",
"status": "A",
"authorized_official_last_name": "WESTRICH",
"authorized_official_first_name": "NANCY",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "216-292-9998",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "2085N0904X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Nuclear Radiology",
"state": "OH",
"license": "1012IC",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2485798",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
- Toledo Public Schools
- Toledo Pulmonary and Sleep Specialists, Inc.
- Toledo Radiation Oncology, Inc (T R O Inc)
- Toledo Radiation Oncology, PLC (T R O PLC)
- Toledo Radiological Associates, Inc.
- Toledo Rehab Group
- Toledo Rehab Group
- Toledo Rehab Group
- Toledo Rehabilitation and Nursing Center LLC (Divine Rehabilitation and Nursing Center at Toledo)
- Toledo Rehabilitation Group
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.