Individual provider Active NPI

Larry Manders, MD

  • Anesthesiology Physician
  • Toledo, OH
National Provider Identifier
1710393970
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
35C.003363 Issued in OH
Practice address
3000 Arlington Ave
Toledo, OH 43614-2595
Phone
(419) 383-3556
Fax
(419) 383-3550
NPI assigned
Jul 9, 2014
Last updated
Feb 5, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 4301105804 MI
Anesthesiology Physician 207L00000X 35C.003363 OH Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 68860-20 WI
Pain Medicine (Anesthesiology) Physician 207LP2900X 35C.003363 OH

Addresses

Primary practice location

3000 Arlington Ave
Toledo, OH 43614-2595

Mailing address

3000 Arlington Ave Stop 1108
Toledo, OH 43614-2595
Phone (419) 383-5322

Other practice location 1

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 898-0833

Other practice location 2

Uw Hospitals & Clinics 600 Highland Ave
Madison, WI 53792
Phone (248) 898-0833

Other identifiers 1

IdentifierTypeStateIssuer
0164939MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190806000581 MI Practitioner - Anesthesiology 0547486060 Reassigns benefits to 5 organizations
I20251202001499 OH Practitioner - AnesthesiologyPractitioner - Pain Management 0547486060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Wayne State University School of Medicine, 2014
Medicare assignment
May accept Medicare assignment
Group practices
Nsa Pain Services of Michigan III, PLLCGroup PAC ID 8921428996, 18 clinicians
Northstar Anesthesia of Michigan III PLLCGroup PAC ID 7911325469, 561 clinicians
Novi Aas LLCGroup PAC ID 1557587847, 14 clinicians
Long Lake Anesthesiology Consultants PLCGroup PAC ID 7113818980, 94 clinicians

Practice addresses (Care Compare)

10000 Telegraph Rd
Taylor, MI 48180-3330
Phone (214) 687-0001

18101 Oakwood Blvd
Dearborn, MI 48124-4089
Phone (214) 687-0001

26750 Providence Pkwy
Suite 100
Novi, MI 48374-1211
Phone (248) 662-1500

4550 Investment Dr
Troy, MI 48098-6334
Phone (248) 265-4600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35C.003363OHMDAnesthesiology Physician
68860-20WIMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Long Lake Anesthesiology Consultants, PLC Anesthesiology CurrentSince Feb 23, 2022 Accepting new patients
Nsa Pain Services of Michigan III, PLLC Pain Medicine CurrentSince Nov 21, 2020 Accepting new patients
Novi Aas LLC Anesthesiology CurrentSince Jan 19, 2026 Accepting new patients
University of Toledo Physicians LLC Anesthesiology CurrentSince Dec 1, 2025 Accepting new patients
Northstar Anesthesia of Michigan III PLLC Pain Medicine CurrentSince Aug 20, 2020 Accepting new patients
Beaumont Medical Group Hospital -Based Services Past Accepting new patients

Locations

2009 Momentum Pl
Chicago, IL 60689

18101 Oakwood Blvd
Dearborn, MI 48124
Phone (313) 593-8780

3800 Centennial Dr
Grass Lake, MI 49240
Phone (517) 701-3100

16815 E Jefferson Ave
Grosse Pointe, MI 48230
Phone (313) 473-4690

468 Cadieux Rd
Grosse Pointe Woods, MI 48230
Phone (313) 343-1000

25500 Meadowbrook Rd
Ste 110
Novi, MI 48375
Phone (248) 477-0220

26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500

43422 W Oaks Dr
Novi, MI 48377
Phone (248) 229-4658

920 River Centre Dr
Port Huron, MI 48060
Phone (810) 984-5200

1555 South Blvd E
Rochester Hills, MI 48307
Phone (248) 267-5600

1555 South Blvd E
Ste 310
Rochester Hills, MI 48307
Phone (248) 215-8080

3601 W 13 Mile Rd
Royal Oak, MI 48073

4949 Coolidge Hwy
Royal Oak, MI 48073
Phone (248) 655-5660

10000 Telegraph Rd
Taylor, MI 48180
Phone (313) 295-5000

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

4550 Investment Dr
Ste 100
Troy, MI 48098
Phone (248) 265-4600

33155 Annapolis St
Wayne, MI 48184
Phone (734) 467-4042

5450 Fort St
Woodhaven, MI 48183
Phone (734) 671-3297

3000 Arlington Ave
Toledo, OH 43614
Phone (419) 383-3556

3000 Arlington Ave
Stop 1108
Toledo, OH 43614

3355 Glendale Ave
Toledo, OH 43614
Phone (419) 383-5614

Organizations & group practices 7

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1404864000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770249600000",
    "number": "1710393970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 ARLINGTON AVE STOP 1108",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142595",
            "telephone_number": "419-383-5322"
        },
        {
            "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": [
        {
            "address_1": "3601 W 13 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736712",
            "country_code": "US",
            "telephone_number": "248-898-0833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Uw Hospitals & Clinics 600 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "53792",
            "country_code": "US",
            "telephone_number": "248-898-0833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANDERS",
        "first_name": "LARRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-09",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MI",
            "license": "4301105804",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "OH",
            "license": "35C.003363",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "WI",
            "license": "68860-20",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "OH",
            "license": "35C.003363",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0164939",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.