NPIMap

Organization Active NPI

Comprehensive Family Practice

  • Family Medicine Physician
  • Toledo, OH
National Provider Identifier
1720145899
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34006654 Issued in OH
Legal business name
COMPREHENSIVE FAMILY PRACTICE
Practice address
4805 Suder Ave
Suite a
Toledo, OH 43611-1800
Phone
(419) 726-1585
Fax
(419) 726-0381
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Michael Pranas Neverauskas, D.O
Title
Vice President and Secretary
Phone
(419) 726-1585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 34006654 OH Primary

Addresses

Primary practice location

4805 Suder Ave
Suite a
Toledo, OH 43611-1800

Mailing address

4805 Suder Ave
Suite a
Toledo, OH 43611-1800
Phone (419) 726-1585

National Provider Directory

National Provider Directory

Locations

4805 Suder Ave
Toledo, OH 43611
Phone (419) 726-1585

4805 Suder Ave
Ste A
Toledo, OH 43611
Phone (419) 726-1585

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1720145899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4805 SUDER AVE",
            "address_2": "SUITE A",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436111800",
            "telephone_number": "419-726-1585",
            "fax_number": "419-726-0381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4805 SUDER AVE",
            "address_2": "SUITE A",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436111800",
            "telephone_number": "419-726-1585",
            "fax_number": "419-726-0381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE FAMILY PRACTICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NEVERAUSKAS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PRANAS",
        "authorized_official_title_or_position": "VICE PRESIDENT AND SECRETARY",
        "authorized_official_telephone_number": "419-726-1585",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34006654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.