Healthcare Provider Details

I. General information

NPI: 1992117246
Provider Name (Legal Business Name): THE TOLEDO HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2014
Last Update Date: 07/17/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5855 MONROE ST
SYLVANIA OH
43560-2269
US

IV. Provider business mailing address

5855 MONROE ST
SYLVANIA OH
43560-2269
US

V. Phone/Fax

Practice location:
  • Phone: 419-824-7334
  • Fax: 419-824-7359
Mailing address:
  • Phone: 419-824-7334
  • Fax: 419-824-7359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number
License Number StateOH
# 4
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateOH
# 5
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number
License Number StateOH
# 6
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number StateOH

VIII. Authorized Official

Name: AMY L DWYER
Title or Position: CREDENTIALING SUPERVISOR
Credential:
Phone: 419-824-7334