Organization Active NPI

Superior Heart Care Inc

  • Cardiovascular Disease Physician
  • Toledo, OH
National Provider Identifier
1801004767
Registry record updated Apr 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35064310 Issued in OH
Legal business name
SUPERIOR HEART CARE INC
Practice address
3900 Sunforest CT
Suite 220
Toledo, OH 43623-4475
Phone
(419) 486-9100
Fax
(419) 885-4792
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2017

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

Authorized official

Name
Dr. William P Schafer, MDNPI 1932107174
Title
Owner
Phone
(419) 486-9100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 35064310 OH Primary

Addresses

Primary practice location

3900 Sunforest CT
Suite 220
Toledo, OH 43623-4475

Mailing address

3900 Sunforest CT
Suite 220
Toledo, OH 43623-4475
Phone (419) 486-9100

Other identifiers 2

IdentifierTypeStateIssuer
0903482MedicaidOH
01424OtherOHPARAMOUNT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051110000428 OH Part B Supplier - Clinic/Group Practice 6800814526 Receives reassigned benefits from 1 practitioner
Practice locations: Toledo, OH

National Provider Directory

National Provider Directory

Locations

3900 Sunforest Ct
Ste 220
Toledo, OH 43623
Phone (419) 486-9000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1801004767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 SUNFOREST CT",
            "address_2": "SUITE 220",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234475",
            "telephone_number": "419-486-9100",
            "fax_number": "419-885-4792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 SUNFOREST CT",
            "address_2": "SUITE 220",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234475",
            "telephone_number": "419-486-9100",
            "fax_number": "419-885-4792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR HEART CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2017-04-19",
        "status": "A",
        "authorized_official_last_name": "SCHAFER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-486-9100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35064310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0903482",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT",
            "identifier": "01424",
            "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 Apr 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.