Individual provider Active NPI

Nicholas G Espinoza, DO

  • Family Medicine Physician
  • Toledo, OH
National Provider Identifier
1912907890
Registry record updated Oct 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.005306 Issued in OH
Practice address
2200 Jefferson Ave
Toledo, OH 43604-7101
Phone
(419) 251-1400
Fax
(419) 251-1797
NPI assigned
Jul 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS8851 FL
Family Medicine Physician 207Q00000X 34.005306 OH Primary

Addresses

Primary practice location

2200 Jefferson Ave
Toledo, OH 43604-7101

Mailing address

2200 Jefferson Ave
5TH FL
Toledo, OH 43604-7101

Other identifiers 1

IdentifierTypeStateIssuer
0843305MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050812000002 OH Practitioner - Family Practice 5395774053 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians-North LLCGroup PAC ID 2668522400, 131 clinicians

Practice addresses (Care Compare)

1103 Village Square Dr
Suite 100
Perrysburg, OH 43551-1762
Phone (419) 872-3213

2200 Jefferson Ave
Toledo, OH 43604-7101
Phone (419) 225-1400

2213 Cherry St
Toledo, OH 43608-2603

2213 Franklin Ave
Toledo, OH 43620-1402
Phone (419) 251-8983

2222 Cherry St
Toledo, OH 43608-2675

Hospital & facility affiliations

  • Mercy St Vincent Medical Center Hospital, Toledo, OH, CCN 360112

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
OS8851FLMDFamily Medicine Physician
34.005306OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians - North, LLC CurrentSince Sep 1, 2009 Accepting new patients
Mercy Health Physicians-North LLC Family Medicine CurrentSince Sep 1, 2009 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health System Northern Past Accepting new patients
Oakmont Medical LLC Family Medicine Past Accepting new patients
Mercy Health - St Vincent Medical Center LLC Past Accepting new patients
Intermed Associates, Inc Past Accepting new patients

Locations

5901 Monclova Rd
Maumee, OH 43537
Phone (419) 893-5911

2702 Navarre Ave
Ste 206
Oregon, OH 43616
Phone (419) 691-1000

1103 Village Square Dr
Ste 100
Perrysburg, OH 43551
Phone (419) 872-3213

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826

2213 Franklin Ave
Fl 2
Toledo, OH 43620
Phone (419) 251-2360

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

2200 Jefferson Ave
Fl 4
Toledo, OH 43604
Phone (419) 251-1400

2200 Jefferson Ave
Toledo, OH 43604
Phone (419) 241-1400

Interoperability endpoints

  • Direct secure messaging: nespinoza26994@direct.bsmhealth.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1121904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1912907890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 JEFFERSON AVE",
            "address_2": "5TH FL",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436047101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 JEFFERSON AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436047101",
            "telephone_number": "419-251-1400",
            "fax_number": "419-251-1797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINOZA",
        "first_name": "NICHOLAS",
        "middle_name": "G",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-21",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS8851",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.005306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0843305",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.