Active NPI
University of Toledo Physicians, LLC
- Medical Oncology Physician
- Toledo, OH
National Provider Identifier
1760722243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- Legal business name
- UNIVERSITY OF TOLEDO PHYSICIANS, LLC
- Practice address
- 1325 Conference Dr
Toledo, OH 43614-8009 - Phone
- (419) 383-6644
- Fax
- (419) 383-6714
- NPI assigned
- Feb 21, 2013
- Organization subpart
- Yes
- Parent organization
- UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Tracey Berry
- Title
- Director, Medical Staff Services
- Phone
- (419) 383-5330
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | Primary |
Addresses
Primary practice location
1325 Conference Dr
Toledo, OH 43614-8009
Mailing address
4510 Dorr St FL Ms 8403
Toledo, OH 43615-4040
Phone (419) 383-5330
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2120903 | Medicaid | OH |
Other names 1
- UTP Infusion Center
National Provider Directory
National Provider DirectoryMember organizations 3
Organizations listed as members of this organization in the National Provider Directory.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Toledo, OH
- NPI 1740213677
Member Of
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Sylvania, OH
- NPI 1922311612
Member Of
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Oregon, OH
- NPI 1932131851
Member Of
Locations
4510 Dorr St
Fl Ms
Toledo, OH 43615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361404800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719273600000",
"number": "1760722243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4510 DORR ST FL MS 8403",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436154040",
"telephone_number": "419-383-5330",
"fax_number": "419-383-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1325 CONFERENCE DR",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436148009",
"telephone_number": "419-383-6644",
"fax_number": "419-383-6714"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNIVERSITY OF TOLEDO PHYSICIANS, LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY",
"enumeration_date": "2013-02-21",
"last_updated": "2024-06-25",
"certification_date": "2024-06-25",
"status": "A",
"authorized_official_last_name": "BERRY",
"authorized_official_first_name": "TRACEY",
"authorized_official_title_or_position": "DIRECTOR, MEDICAL STAFF SERVICES",
"authorized_official_telephone_number": "419-383-5330"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Medical Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2120903",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "UTP Infusion Center",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "UTP Infusion Center",
"code": "5",
"type": "Other Name"
}
]
}
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- Debra Joan Unverferth, OTR/L CHT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.