St. Luke'S Hospital

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

Legal business name

ST. LUKE'S HOSPITAL

Practice address

6005 Monclova Rd
SLH/Ut Family Medicine Residency Program
Maumee, OH 43537

Phone

(419) 891-8024

NPI assigned

Jan 2, 2009

Organization subpart

Yes

Parent organization

ST. LUKE'S HOSPITALAs reported in NPPES

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

Authorized official

Name

Mr. Dennis R. Wagner

Title

Revenue Cycle Director

Phone

(419) 891-8024

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• SLH/UT Family Medicine Residency Program Doing business as

Part of

St Lukes Hospital

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

{
    "created_epoch": "1230854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231113600000",
    "number": "1972749570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 WASHINGTON AVE.",
            "address_2": "COMPREHENSIVE MEDICAL MANAGEMENT",
            "city": "NEWPORT",
            "state": "KY",
            "postal_code": "41018",
            "telephone_number": "859-655-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6005 MONCLOVA RD",
            "address_2": "SLH/UT FAMILY MEDICINE RESIDENCY PROGRAM",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "43537",
            "telephone_number": "419-891-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. LUKE'S HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. LUKE'S HOSPITAL",
        "enumeration_date": "2009-01-02",
        "last_updated": "2009-01-05",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "419-891-8024",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7648602",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SLH/UT Family Medicine Residency Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicole M Spellis-Freyre, RN
• Jacob Thomas Spellis, MSW, LSW
• St. Luke Hospital
• St. Luke'S Hospital
• St. Luke'S Hospital
• St. Lukes Hospital
• St. Marks'S Therapy Center
• Nicholas Richard St.John
• Christine Susanne Stahle, M.D.
• Maya Stallworth, RBT

• General Acute Care Hospital in Maumee, OH
• Providers in Maumee, OH by specialty
• General Acute Care Hospital in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2009; 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.