Organization Active NPI

Franklin Park Pediatrics

  • Pediatrics Physician
  • Toledo, OH
National Provider Identifier
1972551661
Registry record updated Dec 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
FRANKLIN PARK PEDIATRICS
Practice address
2000 Regency CT.
Ste 103
Toledo, OH 43623
Phone
(419) 475-5433
Fax
(419) 475-4770
NPI assigned
May 4, 2006
Last updated
Dec 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2010

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

Authorized official

Name
Ms. Mary Beth Waterfield
Title
Office MGR
Phone
(419) 475-5433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

2000 Regency CT.
Ste 103
Toledo, OH 43623

Mailing address

2000 Regency CT.
Ste 103
Toledo, OH 43623
Phone (419) 475-5433

Other identifiers 1

IdentifierTypeStateIssuer
2274168MedicaidOH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D0331804Franklin Park Pediatrics Inc2000 Regency CT Ste 103, Toledo, OH 43623Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291939200000",
    "number": "1972551661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 REGENCY CT.",
            "address_2": "STE 103",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43623",
            "telephone_number": "419-475-5433",
            "fax_number": "419-475-4770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 REGENCY CT.",
            "address_2": "STE 103",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43623",
            "telephone_number": "419-475-5433",
            "fax_number": "419-475-4770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKLIN PARK PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2010-12-10",
        "status": "A",
        "authorized_official_last_name": "WATERFIELD",
        "authorized_official_first_name": "MARY BETH",
        "authorized_official_title_or_position": "OFFICE MGR",
        "authorized_official_telephone_number": "419-475-5433",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2274168",
            "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 Dec 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.