OPTIMUM HEALTH RESTORATION AND ANTI-AGING - TOLEDO, LLC (NPI# 1447756804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1447756804 |
Entity Type | Organization |
Organization Name | OPTIMUM HEALTH RESTORATION AND ANTI-AGING - TOLEDO, LLC |
Practice Address |
4041 Sylvania Avenue Toledo OH 43623 |
Mailing Address |
3699 Garden Court Grove City OH 43123 |
Practice Telephone | 6145394128 |
Mailing Telephone | 6145394128 |
Mailing Fax Number | 8886310223 |
Enumeration Date | 2018-04-04 |
Last Update Date | 2018-04-04 |
Authorized Official Name | DR. ROY C KORTH JR. (SOLE MEMBER) |
Authorized Official Telephone | 6145394128 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
Street Address |
4041 SYLVANIA AVENUE |
City | TOLEDO |
State | OH |
Zip Code | 43623 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568062750 | Virtual Gender Care Clinic LLC | Clinic/Center | 5616 Birchdale Dr., Toledo, OH 43623 | 2020-10-28 |
1043824410 | Paula Milkie | Speech-Language Pathologist | Westwood Early Childhood Center, 3939 Wrenwood, Toledo, OH 43623 | 2020-09-03 |
1528678190 | Kori Michelle Pfeiffer | Nurse Practitioner | 4640 Alexis Road, Toledo, OH 43623 | 2020-08-07 |
1124683636 | Dana Lynn Oswald | Nurse Practitioner | The Toledo Clinic Cancer Center, 4126 N. Holland Sylvania Rd. Suite 105, Toledo, OH 43623 | 2019-05-09 |
1902382922 | Elizabeth Satterthwaite | Dietitian, Registered | 4345 Secor Rd Ste A, Toledo, OH 43623 | 2018-07-12 |
1659897387 | Danajo Marie Woods | Nurse Practitioner | 4235 Secor Rd Bldg 3, Toledo, OH 43623 | 2017-08-15 |
1013449784 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 3546 W. Sylvania Ave, Toledo, OH 43623 | 2017-03-31 |
1487101879 | Cletus Payne | Nurse Practitioner | 4405 N. Holland Sylvania Rd., Toledo, OH 43623 | 2016-09-02 |
1912451634 | Iman Alazzawi | Registered Nurse | 4615 N Holland Sylvania Rd Apt 40, Toledo, OH 43623 | 2016-08-10 |
1629422555 | Jacqueline Rome | Physical Therapy Assistant | 3916 Durham Ct., Toledo, OH 43623 | 2016-04-18 |
Find all providers in zip 43623 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861811168 | Chs Health Services, Inc | General Practice | 1250 W Laskey Rd, Toledo, OH 43612-2909 | 2014-04-15 |
1366693772 | Ryan Oertell Lakin | General Practice | 241 N Superior St, Suite 301, Toledo, OH 43604-1234 | 2008-10-03 |
1659451789 | Teresita Palma-gil | General Practice | 2101 Jefferson Ave, Toledo, OH 43624-1117 | 2006-10-16 |
1568843217 | Betsy Klinger | General Practice | 3000 Arlington Ave., Anesthesiology Dept, University of Toledo Medical Ctr, Toledo, OH 43614 | 2015-06-17 |
1376930768 | Keerat Parmar | General Practice | 3000 Arlington Ave, Toledo, OH 43614-2595 | 2015-04-23 |
1104218601 | Ugonna Onyeagoro | General Practice | 2213 Cherry St, Toledo, OH 43608-2603 | 2015-02-21 |
1407113103 | William G Goncharow | General Practice | 2213 Cherry St, Toledo, OH 43608-2603 | 2012-04-18 |
1467732214 | Unison Behavioral Health Group, Inc. | General Practice | 1425 Starr Ave, Toledo, OH 43605-2456 | 2011-08-25 |
1821393117 | Donald G Weathers Md Inc | General Practice | 3949 Sunforest Ct, Suite 202, Toledo, OH 43623-4454 | 2011-01-18 |
1295046753 | Ethidocs, LLC | General Practice | 4841 Monroe St, Suite 350, Toledo, OH 43623-4385 | 2010-06-29 |
Find all providers in TOLEDO |
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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.