Synergy Primary Care and Wellness LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

35.093947 Issued in OH

Legal business name

SYNERGY PRIMARY CARE AND WELLNESS LLC

Practice address

4895 Monroe St Ste 203
Toledo, OH 43623-4349

Phone

(419) 885-0200

NPI assigned

Jan 10, 2018

Organization subpart

No

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

Authorized official

Name

Bushra Ali, MDNPI 1861668402

Title

Owner

Phone

(419) 725-2527

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bushra K Ali, M.D.

  • Hospitalist Physician
  • Toledo, OH
  • NPI 1861668402
  Medicare reassignment Authorized official
• Jenny Zamor, DO

  • Obstetrics & Gynecology Physician
  • Toledo, OH
  • NPI 1568599108
  NPD (past)

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1982111084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8440",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436230440",
            "telephone_number": "419-885-0200",
            "fax_number": "419-885-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4895 MONROE ST STE 203",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234349",
            "telephone_number": "419-885-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYNERGY PRIMARY CARE AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "BUSHRA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-725-2527",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.093947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvania Physical Therapy & Sports Medicine LLC
• Sylvania Therapy Services LLC
• Antoinette Sylvester, QMHS/CDCA
• Sylvia Sue Sims, PHD, LLC
• Synergy Emergency Physicians, Inc.
• Julia Syring, LSW
• Andrea L Syroka, CDCA
• Elizabeth Syrowski, LPC-CR
• Matthew Michael Syverson, DO
• Brooke Marie Szabo, MD

• Internal Medicine Physician in Toledo, OH
• Providers in Toledo, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.