Active NPI
Toledo Surgical Associates, Inc.
- Surgery Physician
- Perrysburg, OH
National Provider Identifier
1720185010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- TOLEDO SURGICAL ASSOCIATES, INC.
- Practice address
- 12621 Eckel Junction Rd Ste 2800
Perrysburg, OH 43551-1304 - Phone
- (419) 724-4777
- NPI assigned
- Sep 20, 2006
- 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
- Darcy Egan
- Title
- Office Manager
- Phone
- (419) 724-4777
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
12621 Eckel Junction Rd Ste 2800
Perrysburg, OH 43551-1304
Mailing address
12621 Eckel Junction Rd Ste 2800
Perrysburg, OH 43551-1304
Phone (419) 724-4777
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0338389 | Medicaid | OH | |
| CM6062 | Other | OH | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
12621 Eckel Junction Rd
Ste 2800
Perrysburg, OH 43551
Phone (419) 724-4777
12621 Eckel Junction Rd
Ste 28
Perrysburg, OH 43551
12621 Eckel Junction Rd
#2800
Perrysburg, OH 43551
Phone (419) 724-4777
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Perrysburg, OH
- NPI 1154412005
-
- Surgery Physician
- Perrysburg, OH
- NPI 1093938854
-
- Surgery Physician
- Perrysburg, OH
- NPI 1467018481
-
- Surgery Physician
- Toledo, OH
- NPI 1184888208
-
- Vascular Surgery Physician
- Downers Grove, IL
- NPI 1245210160
-
- Surgery Physician
- East Lansing, MI
- NPI 1871570564
-
- Surgery Physician
- San Diego, CA
- NPI 1780659276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1596758400000",
"number": "1720185010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12621 ECKEL JUNCTION RD STE 2800",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435511304",
"telephone_number": "419-724-4777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12621 ECKEL JUNCTION RD STE 2800",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435511304",
"telephone_number": "419-724-4777"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOLEDO SURGICAL ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2020-08-07",
"certification_date": "2020-08-07",
"status": "A",
"authorized_official_last_name": "EGAN",
"authorized_official_first_name": "DARCY",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "419-724-4777"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0338389",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CM6062",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Perrysburg, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.