Endocrine Specialists, LLC

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

35067199 Issued in OH

Legal business name

ENDOCRINE SPECIALISTS, LLC

Practice address

4126 N Holland Sylvania Rd
Suite 140
Toledo, OH 43623-2504

Phone

(419) 472-7755

Fax

(419) 472-8811

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Mahmood Fattooh Moosa, M.D.

Title

Physician

Phone

(419) 472-7755

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861402745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4126 N HOLLAND SYLVANIA RD",
            "address_2": "SUITE 140",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436232504",
            "telephone_number": "419-472-7755",
            "fax_number": "419-472-8811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4126 N HOLLAND SYLVANIA RD",
            "address_2": "SUITE 140",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436232504",
            "telephone_number": "419-472-7755",
            "fax_number": "419-472-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENDOCRINE SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOOSA",
        "authorized_official_first_name": "MAHMOOD",
        "authorized_official_middle_name": "FATTOOH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "419-472-7755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OH",
            "license": "35067199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.