Organization Active NPI

Dr. Safadi & Associates, Inc

  • Allergy & Immunology Physician
  • Sylvania, OH
National Provider Identifier
1861520173
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
35062753 Issued in OH
Legal business name
DR. SAFADI & ASSOCIATES, INC
Practice address
7640 Sylvania Ave
J
Sylvania, OH 43560-9729
Phone
(419) 843-7780
Fax
(419) 715-1377
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Authorized official

Name
Dr. Ghassan S Safadi, M.D.NPI 1003813205
Title
President
Phone
(419) 843-7780

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
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 35062753 OH Primary

Addresses

Primary practice location

7640 Sylvania Ave
J
Sylvania, OH 43560-9729

Mailing address

PO Box 352108
Toledo, OH 43635-2108
Phone (419) 843-7780

Other identifiers 2

IdentifierTypeStateIssuer
2832322MedicaidOH
DE1471OtherOHRAILROAD MEDICARE ID

Other names 2

  • Allergy Clinic Ohio Doing business as
  • Ghassan S Safadi, M.D. Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040217000177 OH Part B Supplier - Clinic/Group Practice 6901791227 Receives reassigned benefits from 5 practitioners
Practice locations: Findlay, OH; Wauseon, OH; Toledo, OH; Sylvania, OH; Perrysburg, OH; Lima, OH; Fremont, OH; Defiance, OH…

National Provider Directory

National Provider Directory

Locations

960 W Wooster St
Ste 102
Bowling Green, OH 43402
Phone (419) 354-1069

1200 Ralston Ave
#171
Defiance, OH 43512

1818 Chapel Dr
Ste A
Findlay, OH 45840
Phone (419) 425-5129

2575 Hayes Ave
Ste 3
Fremont, OH 43420
Phone (419) 332-7371

750 W High St
Ste 210
Lima, OH 45801
Phone (419) 224-3937

900 W South Boundary St
Bldg 1B
Perrysburg, OH 43551
Phone (419) 872-0306

3101 W US Highway 224
Ste A
Tiffin, OH 44883
Phone (419) 443-1733

7615 Kings Pointe Rd
Toledo, OH 43617

725 S Shoop Ave
Fl 2
Wauseon, OH 43567

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 6

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": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670544000000",
    "number": "1861520173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 352108",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436352108",
            "telephone_number": "419-843-7780",
            "fax_number": "419-715-1377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7640 SYLVANIA AVE",
            "address_2": "J",
            "city": "SYLVANIA",
            "state": "OH",
            "postal_code": "435609729",
            "telephone_number": "419-843-7780",
            "fax_number": "419-715-1377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. SAFADI & ASSOCIATES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A",
        "authorized_official_last_name": "SAFADI",
        "authorized_official_first_name": "GHASSAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-843-7780",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "OH",
            "license": "35062753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2832322",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE ID",
            "identifier": "DE1471",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy Clinic Ohio",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ghassan S Safadi, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sylvania, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; 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.