Organization Active NPI

Stork Studios, Inc,

Doing business as Sylvania Ultrasound Institute

  • Diagnostic Ultrasound Physician
  • Toledo, OH
National Provider Identifier
1780636449
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Ultrasound PhysicianTaxonomy code 2085U0001X
Legal business name
STORK STUDIOS, INC,
Doing business as
Sylvania Ultrasound Institute
Practice address
3830 Woodley Rd
Suite a
Toledo, OH 43606-1176
Phone
(419) 841-7766
Fax
(419) 841-7555
NPI assigned
May 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Authorized official

Name
Mrs. Rosemary Frances Gozdowski, RDMS, LPN
Title
President and Ceo
Phone
(419) 841-7766

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Ultrasound PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085U0001X Primary

Addresses

Primary practice location

3830 Woodley Rd
Suite a
Toledo, OH 43606-1176

Mailing address

3830 Woodley Rd
Suite a
Toledo, OH 43606-1176
Phone (419) 841-7766

Other identifiers 1

IdentifierTypeStateIssuer
0293490MedicaidOH

Other names 1

  • SYLVANIA ULTRASOUND INSTITUTE Doing business as

National Provider Directory

National Provider Directory

Locations

4417 N Holland Sylvania Rd
Ste B
Toledo, OH 43623
Phone (419) 841-7766

3830 Woodley Rd
Ste A
Toledo, OH 43606
Phone (419) 517-0500

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330905600000",
    "number": "1780636449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3830 WOODLEY RD",
            "address_2": "SUITE A",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061176",
            "telephone_number": "419-841-7766",
            "fax_number": "419-841-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3830 WOODLEY RD",
            "address_2": "SUITE A",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061176",
            "telephone_number": "419-841-7766",
            "fax_number": "419-841-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STORK STUDIOS, INC,",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-17",
        "last_updated": "2012-03-05",
        "status": "A",
        "authorized_official_last_name": "GOZDOWSKI",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_middle_name": "FRANCES",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "419-841-7766",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RDMS, LPN"
    },
    "taxonomies": [
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0293490",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SYLVANIA ULTRASOUND INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 5, 2012; 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.