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1609000769

NPI Code Detail

MEDICARE: MERCY HEALTH PHYSICIANS-NORTH LLC

MEDICARE: MERCY HEALTH PHYSICIANS-NORTH LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207LC0200X	Critical Care Medicine (Anesthesiology) Physician
2	207R00000X	Internal Medicine Physician
3	208C00000X	Colon & Rectal Surgery Physician
4	207Y00000X	Otolaryngology Physician
5	207LP3000X	Pediatric Anesthesiology Physician
6	2080P0203X	Pediatric Critical Care Medicine Physician
7	208M00000X	Hospitalist Physician
8	208000000X	Pediatrics Physician
9	2080P0202X	Pediatric Cardiology Physician
10	2080N0001X	Neonatal-Perinatal Medicine Physician
11	207L00000X	Anesthesiology Physician
12	2080P0006X	Developmental - Behavioral Pediatrics Physician
13	208VP0000X	Pain Medicine Physician
14	207LP2900X	Pain Medicine (Anesthesiology) Physician
15	207Q00000X	Family Medicine Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609000769
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MERCY HEALTH PHYSICIANS-NORTH LLC

Provider Business Mailing Address
First Line	:	4600 MCAULEY PL STE 600
Second Line	:
City	:	BLUE ASH
State	:	OH
Zip	:	45242-4778
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2200 JEFFERSON AVE
Second Line	:
City	:	TOLEDO
State	:	OH
Zip	:	43604-7101
Country	:	US
Telephone Number	:	419-871-6359
Fax Number	:

Authorized Official
Title or Position	:	SYSTEM DIRECTOR, PAYER DELEGATION &
Name	:	CASSIE LOWE
Credential	:
Telephone Number	:	513-952-5210

Provider Enumeration Date	:	05/05/2009
Last Update Date	:	03/10/2026

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Directions to “MERCY HEALTH PHYSICIANS-NORTH LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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