Individual provider Active NPI

Albert Earl Jr.

  • Case Manager/Care Coordinator
  • Toledo, OH
National Provider Identifier
1780209239
Registry record updated Jun 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
500 Madison Ave
Toledo, OH 43604-1222
Phone
(567) 312-8700
Fax
(567) 312-8793
NPI assigned
Jun 10, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

500 Madison Ave
Toledo, OH 43604-1222

Mailing address

516 Torrington Dr
Toledo, OH 43615-5437
Phone (419) 902-7731

Other practice location 1

1336 E Main St
Columbus, OH 43205-2081
Phone (614) 914-8781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Solutions of Ohio Incorporated CurrentSince Jun 14, 2020 Accepting new patients
Primary Care Solutions of Ohio Incorporated CurrentSince Jun 14, 2020 Accepting new patients

Locations

1336 E Main St
Columbus, OH 43205
Phone (614) 253-8537

500 Madison Ave
Toledo, OH 43604

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591747200000",
    "number": "1780209239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 TORRINGTON DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436155437",
            "telephone_number": "419-902-7731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MADISON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436041222",
            "telephone_number": "567-312-8700",
            "fax_number": "567-312-8793"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1336 E Main St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432052081",
            "country_code": "US",
            "telephone_number": "614-914-8781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EARL",
        "first_name": "ALBERT",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-10",
        "last_updated": "2020-06-10",
        "certification_date": "2020-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 10, 2020; 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.