Healthcare Provider Details

I. General information

NPI: 1285729335
Provider Name (Legal Business Name): ARTHRITIS ASSOCIATES OF NORTHWEST OHIO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3830 WOODLEY RD STE B
TOLEDO OH
43606-1177
US

IV. Provider business mailing address

4235 SECOR RD
TOLEDO OH
43623-4299
US

V. Phone/Fax

Practice location:
  • Phone: 419-473-9380
  • Fax: 419-473-9515
Mailing address:
  • Phone: 419-473-3561
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License Number
License Number State

VIII. Authorized Official

Name: AMBER D PENIX
Title or Position: CREDENTIALING SPECIALIST
Credential:
Phone: 419-214-4214