MR. ANTHONY FONDREN (NPI# 1790059962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790059962 |
| Entity Type | Individual |
| Full Name | MR. ANTHONY FONDREN |
| Credential | LMT |
| Practice Address |
4405 N Holland Sylvania Rd Suite 101 Toledo OH 43623-3529 |
| Mailing Address |
2049 Tremainsville Rd #2 Toledo OH 43613-3969 |
| Practice Telephone | 4193450195 |
| Mailing Telephone | 4193450195 |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2012-03-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 17917 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831615541 | Anthony Wade Fondren | Nurse Anesthetist, Certified Registered | 620 Skyline Dr, Jackson, TN 38301-3923 | 2017-08-15 |
| Street Address |
4405 N HOLLAND SYLVANIA RD SUITE 101 |
| City | TOLEDO |
| State | OH |
| Zip Code | 43623-3529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518966407 | Michael Demetrios Pappas | Pediatrics | 4405 N Holland Sylvania Rd, 102, Toledo, OH 43623-2509 | 2005-07-21 |
| 1093324394 | Adam Wilburn | Nurse Practitioner | 4405 N Holland Sylvania Rd, Toledo, OH 43623-3529 | 2020-07-23 |
| 1144852542 | Eric James Czech | Physician Assistant | 4405 N Holland Sylvania Rd, Toledo, OH 43623-3529 | 2020-02-04 |
| 1427697812 | Nadira Omar Ibrahim | Nurse Practitioner | 4405 N Holland Sylvania Rd, Toledo, OH 43623-3529 | 2020-01-02 |
| 1063055622 | Beth K Bostater | Nurse Practitioner | 4405 N Holland Sylvania Rd, Toledo, OH 43623-3529 | 2019-10-25 |
| 1750942611 | Hannah Sisk | Nurse Practitioner | 4405 N Holland Sylvania Rd, Toledo, OH 43623-3529 | 2019-06-21 |
| 1871152769 | Brittney Thompson | Physician Assistant | 4405 N Holland Sylvania Rd, Toledo, OH 43623-3529 | 2019-06-13 |
| 1477116291 | Lee Laroy | Nurse Practitioner | 4405 N Holland Sylvania Rd, Toledo, OH 43623-3529 | 2019-04-17 |
| 1669931218 | Kristen M Sfaelos | Physician Assistant | 4405 N Holland Sylvania Rd, Toledo, OH 43623-3529 | 2019-03-13 |
| 1114418423 | Brittany Rayford | Physician Assistant | 4405 N Holland Sylvania Rd, Toledo, OH 43623-3529 | 2018-05-22 |
| Find all providers in the same location | ||||
| 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 |
| 1447756804 | Optimum Health Restoration and Anti-aging - Toledo, LLC | General Practice | 4041 Sylvania Avenue, Toledo, OH 43623 | 2018-04-04 |
| 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 |
| Find all providers in zip 43623 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104435577 | Melinda Louise Gambrell | Massage Therapist | 3829 Woodley Rd Ste 1, Toledo, OH 43606-1170 | 2020-07-30 |
| 1356963524 | Evelyn F Patton | Massage Therapist | 5650 W Central Ave Ste E7, Toledo, OH 43615-1526 | 2020-05-11 |
| 1720627987 | Michele S Demeo | Massage Therapist | 2448 Robinwood Ave, Toledo, OH 43620-1025 | 2020-01-04 |
| 1992342182 | Carmen Jo Jewell | Massage Therapist | 5166 Monroe St Ste 302, Toledo, OH 43623-3454 | 2019-12-06 |
| 1811559370 | Lindsay Williams | Massage Therapist | 4334 W Central Ave Ste 232, Toledo, OH 43615-1681 | 2019-07-05 |
| 1154885457 | Roxanne Marlow | Massage Therapist | 202 Warrington Rd, Toledo, OH 43612-3506 | 2019-01-31 |
| 1093283459 | Jessica Chernota | Massage Therapist | 3102 W Sylvania Ave, Toledo, OH 43613-4132 | 2018-11-05 |
| 1962925883 | Angela M Myers | Massage Therapist | 3409 N Holland Sylvania Rd Ste 3, Toledo, OH 43615-1411 | 2017-07-23 |
| 1023462611 | Hannah Miller | Massage Therapist | 2325 Shoreland Ave Apt 217, Toledo, OH 43611-1556 | 2016-04-20 |
| 1972965721 | Marva Mason | Massage Therapist | 1856 Palmwood Ave, Toledo, OH 43607-1759 | 2016-03-22 |
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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.