Organization Active NPI

Toledo Surgical Associates, Inc.

  • Surgery Physician
  • Perrysburg, OH
National Provider Identifier
1720185010
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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

Updated by the provider on Aug 7, 2020

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0338389MedicaidOH
CM6062OtherOHRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041109000142 OH Part B Supplier - Clinic/Group Practice 0547223703 Receives reassigned benefits from 3 practitioners
Practice locations: Perrysburg, OH

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.