Healthcare Provider Details

I. General information

NPI: 1356267702
Provider Name (Legal Business Name): MEDICAL UNIVERSITY OF OHIO AT TOLEDO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 REGENCY CT STE 105
TOLEDO OH
43623-3074
US

IV. Provider business mailing address

3000 ARLINGTON AVE
TOLEDO OH
43614-2595
US

V. Phone/Fax

Practice location:
  • Phone: 419-383-6376
  • Fax:
Mailing address:
  • Phone: 419-383-6376
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: TROY THOMAS HOLMES
Title or Position: CHIEF FINANCIAL OFFICER
Credential: CPA
Phone: 419-383-6376