Active NPI
Mercy Health - St Vincent Medical Center LLC
- Gastroenterology Physician
- Toledo, OH
National Provider Identifier
1982632741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- MERCY HEALTH - ST VINCENT MEDICAL CENTER LLC
- Practice address
- 2213 Cherry St
Toledo, OH 43608-2603 - Phone
- (419) 251-3114
- NPI assigned
- Jun 29, 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
- Samatha Platzke
- Title
- Cfo
- Phone
- (419) 251-2046
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary | ||
| Hematology & Oncology Physician | 207RH0003X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Maternal & Fetal Medicine Physician | 207VM0101X | |||
| Otolaryngology Physician | 207Y00000X | |||
| Pediatrics Physician | 208000000X | |||
| Plastic Surgery Physician | 208200000X | |||
| Neurology with Special Qualifications in Child Neurology Physician | 2084N0402X | |||
| Surgery Physician | 208600000X | |||
| Urology Physician | 208800000X | |||
| Clinical Nurse Specialist | 364S00000X |
Addresses
Primary practice location
2213 Cherry St
Toledo, OH 43608-2603
Mailing address
2200 Jefferson Ave
4TH FL
Toledo, OH 43624-1120
Phone (419) 251-8997
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643068800000",
"number": "1982632741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 JEFFERSON AVE",
"address_2": "4TH FL",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436241120",
"telephone_number": "419-251-8997",
"fax_number": "419-251-3553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2213 CHERRY ST",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436082603",
"telephone_number": "419-251-3114"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY HEALTH - ST VINCENT MEDICAL CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-29",
"last_updated": "2022-01-25",
"certification_date": "2022-01-25",
"status": "A",
"authorized_official_last_name": "PLATZKE",
"authorized_official_first_name": "SAMATHA",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "419-251-2046"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207VM0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "208200000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Plastic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084N0402X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": false
},
{
"code": "364S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Clinical Nurse Specialist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
- Mercy Health - St Vincent Medical Center LLC
- Mercy Health - St Vincent Medical Center LLC
- Mercy Health - St Vincent Medical Center LLC
- Mercy Health - St Vincent Medical Center LLC
- Mercy Health - St Vincent Medical Center LLC
- Mercy Health Partners
- Mercy Health Physicians North Specialty Care LLC
- Mercy Health Physicians North Specialty Care LLC
- Mercy Health Physicians-North LLC
- Mercy Health Physicians-North LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.