Active NPI
Sunforest Orthopedics Inc
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Toledo, OH
National Provider Identifier
1962593707
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Neuromusculoskeletal Medicine) Physician
- Legal business name
- SUNFOREST ORTHOPEDICS INC
- Practice address
- 4405 N Holland Sylvania Rd
Suite 101
Toledo, OH 43623-3529 - Phone
- (419) 475-1600
- Fax
- (419) 475-2104
- NPI assigned
- Sep 27, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Elaine Wieland
- Title
- Office Manager
- Phone
- (419) 475-1600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Neuromusculoskeletal Medicine) Physician | 204C00000X | Primary |
Addresses
Primary practice location
4405 N Holland Sylvania Rd
Suite 101
Toledo, OH 43623-3529
Mailing address
4405 N Holland Sylvania Rd
Suite 101
Toledo, OH 43623-3529
Phone (419) 475-1600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0116592 | Medicaid | OH |
National Provider Directory
National Provider DirectoryLocations
3900 Sunforest Ct
Ste 212
Toledo, OH 43623
Phone (419) 260-3843
1500 N Superior St
Ste 302
Toledo, OH 43604
Phone (419) 729-6681
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Toledo, OH
- NPI 1669464558
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202169600000",
"number": "1962593707",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4405 N HOLLAND SYLVANIA RD",
"address_2": "SUITE 101",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436233529",
"telephone_number": "419-475-1600",
"fax_number": "419-475-2104"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4405 N HOLLAND SYLVANIA RD",
"address_2": "SUITE 101",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436233529",
"telephone_number": "419-475-1600",
"fax_number": "419-475-2104"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUNFOREST ORTHOPEDICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-27",
"last_updated": "2008-02-05",
"status": "A",
"authorized_official_last_name": "WIELAND",
"authorized_official_first_name": "ELAINE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "419-475-1600",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "204C00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neuromusculoskeletal Medicine, Sports Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0116592",
"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 Feb 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.