Organization Active NPI

University of Toledo Physicians, LLC

  • Medical Oncology Physician
  • Toledo, OH
National Provider Identifier
1760722243
Registry record updated Jun 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
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 FACULTYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 25, 2024

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)CodeLicenseStatePrimary
Medical Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
2120903MedicaidOH

Other names 1

  • UTP Infusion Center Other name

National Provider Directory

National Provider Directory

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

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"
        }
    ]
}

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 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.

Verify at the official NPI Registry.