NPIMap

Organization Active NPI

Toledo Radiological Associates, Inc.

  • Diagnostic Radiology Physician
  • Toledo, OH
National Provider Identifier
1801875208
Registry record updated Jan 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
TOLEDO RADIOLOGICAL ASSOCIATES, INC.
Practice address
2142 N Cove Blvd
Toledo, OH 43606-3895
Phone
(419) 479-8600
NPI assigned
Jan 13, 2006
Last updated
Jan 10, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2018

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

Authorized official

Name
Mr. Charles PriceNPI 1447245592
Title
President
Phone
(419) 474-4064

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

2142 N Cove Blvd
Toledo, OH 43606-3895

Mailing address

3103 Executive Pkwy
Suite 200
Toledo, OH 43606-1372
Phone (419) 474-4064

Other identifiers 3

IdentifierTypeStateIssuer
0222520MedicaidOH
000000023694OtherOHANTHEM
CA3223OtherOHRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI, AZ, OR4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20031203000295 OH Part B Supplier - Clinic/Group Practice 2567367519 Receives reassigned benefits from 49 practitioners
O20180123001908 MI Part B Supplier - Clinic/Group Practice 2567367519 Receives reassigned benefits from 51 practitioners
Practice locations: Ann Arbor, MI; Ypsilanti, MI; Warren, MI; Saline, MI; Petersburg, MI; Monroe, MI; Flat Rock, MI; Ferndale, MI…
O20230721001027 AZ Part B Supplier - Clinic/Group Practice 2567367519 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ
O20240924001070 OR Part B Supplier - Clinic/Group Practice 2567367519 Receives reassigned benefits from 1 practitioner
Practice locations: Tualatin, OR

National Provider Directory

National Provider Directory
Tax ID family
Usf Pediatric Labs19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

660 Beaver Creek Cir
Ste 120
Maumee, OH 43537
Phone (419) 891-6249

3113 Dustin Rd
Oregon, OH 43616
Phone (419) 697-5265

26963 Eckel Rd
Perrysburg, OH 43551
Phone (419) 873-1532

1215 Grassy Ln
Rossford, OH 43460
Phone (419) 661-9727

5700 Monroe St
Sylvania, OH 43560
Phone (419) 473-6622

2121 Hughes Dr
Toledo, OH 43606
Phone (419) 291-2671

2150 W Central Ave
Rm H
Toledo, OH 43606

3103 Executive Pkwy
Ste 200
Toledo, OH 43606

5757 Park Center Ct
Toledo, OH 43615

Practitioners & affiliated clinicians

Practitioners 68

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 68

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515542400000",
    "number": "1801875208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3103 EXECUTIVE PKWY",
            "address_2": "SUITE 200",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436061372",
            "telephone_number": "419-474-4064",
            "fax_number": "419-472-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2142 N COVE BLVD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436063895",
            "telephone_number": "419-479-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOLEDO RADIOLOGICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-13",
        "last_updated": "2018-01-10",
        "status": "A",
        "authorized_official_last_name": "PRICE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-474-4064",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0222520",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000023694",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CA3223",
            "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 Jan 10, 2018; 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.