Active NPI
Panagiotis Theodore Doukides, M.D.
- Psychiatry Physician
- Toledo, OH
National Provider Identifier
1780793661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 35 047029
- Practice address
- 4027 N Holland Sylvania Rd
Toledo, OH 43623-2592 - Phone
- (419) 824-9993
- Fax
- (419) 824-9962
- NPI assigned
- Aug 30, 2006
- Last updated
- Mar 14, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 35 047029 | OH | Primary |
Addresses
Primary practice location
4027 N Holland Sylvania Rd
Toledo, OH 43623-2592
Mailing address
4027 North Holland-Sylvania Road
Toledo,, OH 43623-2592
Phone (419) 824-9993
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0499401 | Medicaid | OH | |
| 0518524 | Other | OH | MEDICARE ID UNSPECIFIED |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Lima-Urban Minority Alcoholism and Drug Abuse Outreach Program., Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
dba lima umadaop
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lima, OH
- NPI 1336780196
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205452800000",
"number": "1780793661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4027 NORTH HOLLAND-SYLVANIA ROAD",
"city": "TOLEDO,",
"state": "OH",
"postal_code": "436232592",
"telephone_number": "419-824-9993",
"fax_number": "419-824-9962"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4027 N HOLLAND SYLVANIA RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436232592",
"telephone_number": "419-824-9993",
"fax_number": "419-824-9962"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUKIDES",
"first_name": "PANAGIOTIS",
"middle_name": "THEODORE",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2008-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "OH",
"license": "35 047029",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0499401",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID UNSPECIFIED",
"identifier": "0518524",
"state": "OH"
}
],
"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 Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.