ST VINCENT MERCY MEDICAL (NPI# 1619903143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619903143 |
| Entity Type | Organization |
| Organization Name | ST VINCENT MERCY MEDICAL |
| Practice Address |
2200 Jefferson Ave Toledo OH 43624-1120 |
| Mailing Address |
2200 Jefferson Ave 4th Fl Toledo OH 43624-1120 |
| Practice Telephone | 4192511400 |
| Practice Fax Number | 4192511797 |
| Mailing Telephone | 4192518997 |
| Mailing Fax Number | 4192513553 |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2007-12-06 |
| Authorized Official Name | SAMATHA PLATZKE (CFO) |
| Authorized Official Telephone | 4192512046 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 364S00000X | Clinical Nurse Specialist | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043255698 | St Vincent Mercy Medical | Internal Medicine | 27 St Lawrence Dr, Suite 201a, Tiffin, OH 44883-8312 | 2006-06-18 |
| Street Address |
2200 JEFFERSON AVE |
| City | TOLEDO |
| State | OH |
| Zip Code | 43624-1120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641827 | Imran A. Andrabi | Family Medicine | 2200 Jefferson Ave, Toledo, OH 43604-7101 | 2005-06-30 |
| 1891314340 | Arvind Datt | Student in an Organized Health Care Education/Training Program | 2200 Jefferson Ave, Toledo, OH 43604-7101 | 2020-04-14 |
| 1932738325 | Ali Choudhry | Student in an Organized Health Care Education/Training Program | 2200 Jefferson Ave, Toledo, OH 43604-7101 | 2020-04-07 |
| 1265060404 | John Robert Edminister | Student in an Organized Health Care Education/Training Program | 2200 Jefferson Ave, Toledo, OH 43604-7101 | 2020-04-01 |
| 1396373403 | Linda Cai | Student in an Organized Health Care Education/Training Program | 2200 Jefferson Ave, Toledo, OH 43604-7101 | 2020-04-01 |
| 1952939233 | Sanah Parvez | Student in an Organized Health Care Education/Training Program | 2200 Jefferson Ave, Toledo, OH 43604-7101 | 2020-03-31 |
| 1851957708 | Rebecca D Fisk | Pharmacist | 2200 Jefferson Ave, Toledo, OH 43604-7101 | 2019-05-16 |
| 1346805199 | Tarnjit Kaur Khakh | Student in an Organized Health Care Education/Training Program | 2200 Jefferson Ave, Toledo, OH 43604 | 2019-05-07 |
| 1659834778 | Ahmad Abdel-wahhab Alawneh | Student in an Organized Health Care Education/Training Program | 2200 Jefferson Ave, Toledo, OH 43604-7101 | 2019-04-08 |
| 1730642802 | Danielle Ann Bly | Student in an Organized Health Care Education/Training Program | 2200 Jefferson Ave, Toledo, OH 43604-7101 | 2019-04-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215093174 | Daniel J Hanson | Pathology | 1946 N 13th St, Suite 301, Toledo, OH 43624 | 2006-12-28 |
| 1487702650 | Women Pavillion | Clinic/Center | 328 22nd St, Toledo, OH 43624-1002 | 2007-01-06 |
| 1578786737 | Rachel O. Holland | Counselor | 123 22nd St, Toledo, OH 43624-1107 | 2007-04-10 |
| 1821294885 | Amanda M. Addy | Counselor | 123 22nd St, Toledo, OH 43624-1107 | 2007-06-26 |
| 1366648321 | Jessica M. Broz | Counselor | 123 22nd St, Toledo, OH 43624-1107 | 2007-06-26 |
| 1902022999 | Annette R. Clark | Counselor | 123 22nd St, Toledo, OH 43624-1107 | 2007-04-18 |
| 1831314848 | Wendy L. Ruthenberg | Social Worker | 123 22nd St, Toledo, OH 43624-1107 | 2007-04-16 |
| 1467676999 | Richard K. Miller | Counselor | 123 22nd St, Toledo, OH 43624-1107 | 2007-04-13 |
| 1861615841 | Janis G. Woodworth | Psychologist | 123 22nd St, Toledo, OH 43624-1107 | 2007-04-10 |
| 1659451789 | Teresita Palma-gil | General Practice | 2101 Jefferson Ave, Toledo, OH 43624-1117 | 2006-10-16 |
| Find all providers in zip 43624 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386290302 | Concertohealth of Ohio LLC | Family Medicine | 5553 Southwyck Boulevard, Suite 101, Toledo, OH 43614 | 2019-08-15 |
| 1346724184 | Accupuncture Center of Toledo LLC | Family Medicine | 4739 Monroe St Ste B, Toledo, OH 43623-4342 | 2018-09-18 |
| 1861985251 | Khin Sie | Family Medicine | Rocket Pediatrics, Ruppert Health Center, 3125 Transverse Drive., Toledo, OH 43614 | 2018-06-11 |
| 1659862704 | At Home Physicians Group | Family Medicine | 211 N Reynolds Rd, Toledo, OH 43615-5200 | 2018-05-24 |
| 1538695705 | Tarik Afnoukh | Family Medicine | 3454 Oak Alley Ct Ste 214, Toledo, OH 43606-1370 | 2017-05-10 |
| 1851826671 | Alexander Lapka | Family Medicine | 2865 N Reynolds Rd Ste 170, Toledo, OH 43615-2076 | 2017-04-30 |
| 1689094070 | Shereen Louka | Family Medicine | 2213 Cherry St Unit 1c, Toledo, OH 43608-2603 | 2014-04-23 |
| 1053738096 | Mohammad Alaa Abdulrasool Sr. | Family Medicine | 1425 Oak Hill Ct Apt 36, Toledo, OH 43614-2549 | 2014-03-27 |
| 1619394087 | Karen Striph | Family Medicine | 6846 Cloister Rd, Toledo, OH 43617-2204 | 2014-03-24 |
| 1104262906 | Visiting Medical Specialists of Ohio Inc | Family Medicine | 2718 Centennial Rd, Toledo, OH 43617-1829 | 2013-05-20 |
| 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.