Organization Active NPI

Sunforest Orthopedics Inc

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Toledo, OH
National Provider Identifier
1962593707
Registry record updated Feb 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
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

Updated by the provider on Feb 5, 2008

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)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0116592MedicaidOH

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.