ST. VINCENT MERCY MEDICAL CENTER (NPI# 1316975170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316975170 |
| Entity Type | Organization |
| Organization Name | ST. VINCENT MERCY MEDICAL CENTER |
| Practice Address |
2222 Cherry St Suite 2300 Toledo OH 43608-2673 |
| Mailing Address |
2200 Jefferson Ave 4th Fl Toledo OH 43624-1120 |
| Practice Telephone | 4192518030 |
| Mailing Telephone | 4192518997 |
| Mailing Fax Number | 4192513553 |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2007-09-14 |
| Authorized Official Name | SAMANTHA PLATZKE (CFO) |
| Authorized Official Telephone | 4192512046 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 2080P0210X |
Pediatrics Specialization: Pediatric Nephrology |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760649925 | St. Vincent Mercy Medical Center | Otolaryngology | 100 Powell Dr, Suite 4, Dundee, MI 48131-8644 | 2008-05-16 |
| 1821026089 | St. Vincent Mercy Medical Center | Psychiatric Unit | 2213 Cherry St, Toledo, OH 43608-2603 | 2006-06-28 |
| 1508894965 | St. Vincent Mercy Medical Center | Rehabilitation Unit | 2213 Cherry St, Toledo, OH 43608-2603 | 2006-06-28 |
| 1396781795 | St. Vincent Mercy Medical Center | General Acute Care Hospital | 2213 Cherry St, Toledo, OH 43608-2603 | 2006-06-22 |
| 1184629115 | St. Vincent Mercy Medical Center | General Acute Care Hospital | 2222 Cherry St, Ste 1100, Toledo, OH 43608-2682 | 2005-06-16 |
| Street Address |
2222 CHERRY ST SUITE 2300 |
| City | TOLEDO |
| State | OH |
| Zip Code | 43608-2673 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558364679 | Bikram Singh Johar | Internal Medicine | 2222 Cherry St, Ste 1700, Toledo, OH 43608-2681 | 2005-05-23 |
| 1831724897 | Kholoud K. Amrou | Surgery | 2222 Cherry St, Mob 2, Ste 1250, Toledo, OH 43608 | 2020-03-10 |
| 1689022709 | Nicole Lanz | Nurse Practitioner | 2222 Cherry St, M800, Toledo, OH 43608-2673 | 2016-05-31 |
| 1740635077 | Holly Vaculik | Nurse Practitioner | 2222 Cherry St, Suite 1400, Toledo, OH 43608-2673 | 2016-04-23 |
| 1922471036 | Jeremy Lamb | Physician Assistant | 2222 Cherry St, Ste 1800, Toledo, OH 43608-2673 | 2015-11-11 |
| 1114303724 | Koury Leigh Bankowski | Nurse Practitioner | 2222 Cherry St, Suite 1400, Toledo, OH 43608-2673 | 2015-08-05 |
| 1902280134 | Kimberly Vriezelaar | Nurse Practitioner | 2222 Cherry St, Suite M800, Toledo, OH 43608-2673 | 2015-07-17 |
| 1184011371 | Ashley Griggs Kent | Nurse Practitioner | 2222 Cherry St, Suite 1400, Toledo, OH 43608-2673 | 2015-04-25 |
| 1619214228 | Michelle Cleland | Dietitian, Registered | 2222 Cherry St, Suite 2300, Toledo, OH 43608-2673 | 2013-01-16 |
| 1699028316 | Cebie Titgemeyer | Nurse Practitioner | 2222 Cherry St, Suite 1600, Toledo, OH 43608-2673 | 2012-10-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972126167 | Gunbir Singh | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Acc Building, 1st Floor, Mercy St., Toledo, OH 43608 | 2020-05-21 |
| 1285257600 | Srikanth Popuri | Student in an Organized Health Care Education/Training Program | 2213 Cherry St Acc Building 1st Floor, Mercy St Vincent Medical Center, Toledo, OH 43608 | 2020-05-20 |
| 1003438961 | Krishna Chaudhary | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Acc Building, 1st Floor, Mercy St. Vincent Medical Center, Toledo, OH 43608 | 2020-05-14 |
| 1538780440 | Abdul Baqi | Student in an Organized Health Care Education/Training Program | Mercy Health-st. Vincent's Medical Center, 2213 Cherry Street, Toledo, OH 43608 | 2020-05-01 |
| 1538780556 | Abid Nawaz Khan Adil | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street 1st Floor Acc, Mercy Health St Vincent Medical Center, Toledo, OH 43608 | 2020-04-30 |
| 1578184750 | E Chin Mak | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, 1st Floor, Mercy St Vincent Medical Center, Ambulatory Care Center, Toledo, OH 43608 | 2020-04-29 |
| 1184244618 | Ghulam Mujtaba Ghumman | Student in an Organized Health Care Education/Training Program | Mercy Health St Vincent Medical Center, 2213 Cherry St Acc 1st Floor, Topedo, OH 43608 | 2020-04-24 |
| 1841853694 | Casey Clark | Student in an Organized Health Care Education/Training Program | 2213 Cherry Street, Ambulatory Care Center 1st Floor, Toledo, OH 43608 | 2019-04-17 |
| 1164910899 | Israr Ul Haq | Student in an Organized Health Care Education/Training Program | Mercy St. Vincent Medical Center, 2213 Cherry St., Toledo, OH 43608 | 2018-04-27 |
| 1124516380 | Alexander Payvandi | Student in an Organized Health Care Education/Training Program | 2213 Cherry St Fl, Toledo, OH 43608 | 2018-04-24 |
| Find all providers in zip 43608 | ||||
| Taxonomy Code | 2080P0210X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Nephrology |
| A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912920562 | Martin M Debeukelaer | Pediatrics | 2222 Cherry St, Suite 2300, Toledo, OH 43608-2673 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093337545 | Ahmed Zeid | Pediatrics | 700 Childrens Dr Ste E6b, Columbus, OH 43205-2664 | 2020-05-07 |
| 1780764035 | Stuart Goldstein | Pediatrics | 3333 Burnett Ave, Mlc 7022, Cincinnati, OH 45229-3039 | 2006-10-17 |
| 1689182453 | Jean-philippe Roy | Pediatrics | 3333 Burnet Ave, Cincinnati, OH 45229-3026 | 2018-01-16 |
| 1659631034 | Meredith Posner Schuh | Pediatrics | 3333 Burnet Ave, Ml 7022, Cincinnati, OH 45229 | 2012-05-21 |
| 1285959429 | Deepti Narla | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2010-03-31 |
| 1659515526 | Charles Y Kwon | Pediatrics | 9500 Euclid Ave, Cleveland, OH 44195-0001 | 2009-04-23 |
| 1205078763 | Kirsten Ann Kusumi | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2009-03-30 |
| 1447416359 | Shefali Mahesh | Pediatrics | 1 Perkins Sq, Akron, OH 44308-1063 | 2008-07-30 |
| 1265694244 | Edward Jerome Nehus | Pediatrics | 3333 Burnet Ave, Ml 7022, Cincinnati, OH 45229-3026 | 2008-06-30 |
| 1790946150 | Michael Brian Becknell | Pediatrics | 700 Children's Drive, Columbus, OH 43205-2664 | 2008-06-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.