NPIMap

Organization Active NPI

Mercy Health-St Charles Hospital LLC

Doing business as St Charles Mercy Medical Plaza

  • Family Medicine Physician
  • Perrysburg, OH
National Provider Identifier
1730124942
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MERCY HEALTH-ST CHARLES HOSPITAL LLC
Doing business as
St Charles Mercy Medical Plaza
Practice address
1021 Sandusky St
Perrysburg, OH 43551-3120
Phone
(419) 872-3232
NPI assigned
Jun 19, 2006
Last updated
Jan 13, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Authorized official

Name
Samantha Platzke
Title
Cfo
Phone
(419) 251-2046

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Obstetrics & Gynecology Physician 207V00000X

Addresses

Primary practice location

1021 Sandusky St
Perrysburg, OH 43551-3120

Mailing address

2200 Jefferson Ave
4TH Floor
Toledo, OH 43624-1120
Phone (419) 251-8997

Other names 1

  • St Charles Mercy Medical Plaza Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mercy Health-St Charles Hospital LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1730124942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 JEFFERSON AVE",
            "address_2": "4TH FLOOR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436241120",
            "telephone_number": "419-251-8997",
            "fax_number": "419-251-3353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 SANDUSKY ST",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435513120",
            "telephone_number": "419-872-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH-ST CHARLES HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "PLATZKE",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "419-251-2046"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Charles Mercy Medical Plaza",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "St Charles Mercy Medical Plaza",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jan 13, 2022; 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.