| Ohio Living Palliative Care Greater Toledo Llc | |
|
1730 S Reynolds Rd Toledo OH 43614-1402 | |
| (419) 865-1499 | |
| (419) 865-4227 |
| Full Name | Ohio Living Palliative Care Greater Toledo Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1730 S Reynolds Rd, Toledo, Ohio |
| Authorized Official Name and Position | Laurence C Gumina (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6148887800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ohio Living Palliative Care Greater Toledo Llc 9200 Worthington Rd Ste 300 Westerville OH 43082-7240 Ph: (614) 888-7800 | Ohio Living Palliative Care Greater Toledo Llc 1730 S Reynolds Rd Toledo OH 43614-1402 Ph: (419) 865-1499 |
| NPI Number | 1861981656 |
|---|---|
| Provider Enumeration Date | 05/07/2018 |
| Last Update Date | 08/26/2022 |
| Medicare PECOS PAC ID | 3476803594 |
|---|---|
| Medicare Enrollment ID | O20180911000364 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861981656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Roger L Wohlwend |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710982145 PECOS PAC ID: 2062483050 Enrollment ID: I20040803001535 |
| Provider Name | Naghmana Masood |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1912950361 PECOS PAC ID: 6204803687 Enrollment ID: I20040917001183 |
| Provider Name | Kevin S Kendzierski |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629053681 PECOS PAC ID: 9739142837 Enrollment ID: I20041110000010 |
| Provider Name | Susanne E Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093822850 PECOS PAC ID: 8527097062 Enrollment ID: I20050805000099 |
| Provider Name | Kathleen Ann Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346335718 PECOS PAC ID: 3173546579 Enrollment ID: I20060112000008 |
| Provider Name | Karen Lynn Bauer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568471332 PECOS PAC ID: 5294739355 Enrollment ID: I20060831000468 |
| Provider Name | Diane Borchelt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710950068 PECOS PAC ID: 1355311622 Enrollment ID: I20071213000453 |
| Provider Name | Donato Borrillo |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1104822170 PECOS PAC ID: 8628158870 Enrollment ID: I20080522000330 |
| Provider Name | John Both |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1760489322 PECOS PAC ID: 6507937703 Enrollment ID: I20080616000562 |
| Provider Name | Amelia Marie Barson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659512671 PECOS PAC ID: 1456405307 Enrollment ID: I20090812000524 |
| Provider Name | Robert R Daiber |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922147818 PECOS PAC ID: 2062567878 Enrollment ID: I20100120000195 |
| Provider Name | Deborah F Dugan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386959195 PECOS PAC ID: 1153515473 Enrollment ID: I20101101000817 |
| Provider Name | Amy Marie Livingston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497056642 PECOS PAC ID: 0941497424 Enrollment ID: I20101209000697 |
| Provider Name | William P Saunders |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1821223447 PECOS PAC ID: 6608046289 Enrollment ID: I20110909002624 |
| Provider Name | Denise Hinders |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851672828 PECOS PAC ID: 0648445619 Enrollment ID: I20111203000037 |
| Provider Name | Matthew W Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134331242 PECOS PAC ID: 1850551870 Enrollment ID: I20120329000338 |
| Provider Name | Muhamad H Musa |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1588893960 PECOS PAC ID: 3173779600 Enrollment ID: I20120815000592 |
| Provider Name | Rebecca Ann Grunden |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528302221 PECOS PAC ID: 1951553916 Enrollment ID: I20121220000391 |
| Provider Name | Jami J Gibson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376889964 PECOS PAC ID: 2062658396 Enrollment ID: I20130411000331 |
| Provider Name | Nicole C Ramacciato |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649512005 PECOS PAC ID: 7810133972 Enrollment ID: I20130415000444 |
| Provider Name | Tina M Garland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689916744 PECOS PAC ID: 4486894888 Enrollment ID: I20130708000719 |
| Provider Name | Cyndel Donaldson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679987895 PECOS PAC ID: 7911122742 Enrollment ID: I20140710001041 |
| Provider Name | Laurie A Schnipke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164834065 PECOS PAC ID: 0244455848 Enrollment ID: I20140715000342 |
| Provider Name | Scott M Galenski |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1376956292 PECOS PAC ID: 5496974693 Enrollment ID: I20140922000751 |
| Provider Name | April L. Gardner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184020836 PECOS PAC ID: 2163744921 Enrollment ID: I20141204002418 |
| Provider Name | Ashleigh A Bushman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982096723 PECOS PAC ID: 4385956762 Enrollment ID: I20150629001701 |
| Provider Name | Holly S Medlen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982084190 PECOS PAC ID: 3678880457 Enrollment ID: I20150910001625 |
| Provider Name | Cynthia Nye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831569821 PECOS PAC ID: 2062721616 Enrollment ID: I20151021001524 |
| Provider Name | Raeann L Brodbeck |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679941561 PECOS PAC ID: 7416252473 Enrollment ID: I20160229002656 |
| Provider Name | Amy L Croson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194878611 PECOS PAC ID: 8123314697 Enrollment ID: I20160909000009 |
| Provider Name | Dana Chisholm |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710339593 PECOS PAC ID: 5799073367 Enrollment ID: I20161013002492 |
| Provider Name | Margaret K Burr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821542291 PECOS PAC ID: 3577842574 Enrollment ID: I20161115001715 |
| Provider Name | Shannon Kemper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770038481 PECOS PAC ID: 5890074389 Enrollment ID: I20161128002527 |
| Provider Name | Veronica Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316214760 PECOS PAC ID: 5395903264 Enrollment ID: I20161212002386 |
| Provider Name | Stephanie A Mcgrath |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801310396 PECOS PAC ID: 1254603624 Enrollment ID: I20170818002358 |
| Provider Name | Lisa Ann Von Bargen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861929416 PECOS PAC ID: 6507138708 Enrollment ID: I20170823001932 |
| Provider Name | Phillip Newman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427579895 PECOS PAC ID: 0244503001 Enrollment ID: I20170830002356 |
| Provider Name | Othesha Marie Nash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932607264 PECOS PAC ID: 6204190721 Enrollment ID: I20180510000212 |
| Provider Name | Krystal J Jones-shephard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447747589 PECOS PAC ID: 3274881867 Enrollment ID: I20180730000912 |
| Provider Name | Somer Wallace |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992284731 PECOS PAC ID: 5496007171 Enrollment ID: I20181008001594 |
| Provider Name | Abraham Kuranga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1821418237 PECOS PAC ID: 0749579878 Enrollment ID: I20181010003436 |
| Provider Name | Allyssa Bohanan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437572120 PECOS PAC ID: 9234455577 Enrollment ID: I20190925002055 |
| Provider Name | Lisa C Scudder-marker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164450474 PECOS PAC ID: 5193753671 Enrollment ID: I20191024002607 |
| Provider Name | Jordan Lenae Glover |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609420017 PECOS PAC ID: 6709118474 Enrollment ID: I20191029003695 |
| Provider Name | Nicole Petgrave |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649812405 PECOS PAC ID: 3779915004 Enrollment ID: I20191107001101 |
| Provider Name | Nicole S Waltermyer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447893375 PECOS PAC ID: 5799118840 Enrollment ID: I20191204001690 |
| Provider Name | Mithilesh K Tamirisa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861486714 PECOS PAC ID: 7315966678 Enrollment ID: I20200610002165 |
| Provider Name | Tracey Lynn Perry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952968976 PECOS PAC ID: 8921428335 Enrollment ID: I20201022003626 |
| Provider Name | Monica Mackey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740745702 PECOS PAC ID: 5698192417 Enrollment ID: I20210126001178 |
| Provider Name | Tiffany Lynn Jordan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710290317 PECOS PAC ID: 9537573431 Enrollment ID: I20210204003088 |
| Provider Name | Louise A Dapoz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376588319 PECOS PAC ID: 0446255673 Enrollment ID: I20210319001608 |
| Provider Name | Laura L Rice |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922771948 PECOS PAC ID: 4183022841 Enrollment ID: I20211011000485 |
| Provider Name | Amy Sue Niese |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396381307 PECOS PAC ID: 6103252770 Enrollment ID: I20220414000690 |
| Provider Name | John R Boudouris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861039430 PECOS PAC ID: 4880072966 Enrollment ID: I20220601001969 |
| Provider Name | Anne Knepper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376276287 PECOS PAC ID: 9739563289 Enrollment ID: I20220831003767 |
| Provider Name | Brandey Reana Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326761941 PECOS PAC ID: 7810363736 Enrollment ID: I20221018002700 |
| Provider Name | Alexandra Ruiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972284313 PECOS PAC ID: 8820443120 Enrollment ID: I20231005002958 |
| Provider Name | Rachel Palicki |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700651130 PECOS PAC ID: 5395194690 Enrollment ID: I20231212002833 |
Zepf Community Mental Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 Nebraska Ave, Toledo, OH 43607 Phone: 419-255-4050 Fax: 419-720-7895 | |
Harbor Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6629 W Central Ave, Toledo, OH 43617 Phone: 419-475-4449 | |
Health Partners Of Western Ohio Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2020 Starr Ave, Toledo, OH 43605 Phone: 567-218-1900 Fax: 419-225-8878 | |
Randall Mccormick Toledo Internal Medicine Spec Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2409 Cherry St, Ste 207, Toledo, OH 43608 Phone: 419-251-7672 Fax: 419-251-6785 | |
Sportscare Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2865 N Reynolds Rd Ste 140, Toledo, OH 43615 Phone: 419-578-7590 Fax: 419-537-5605 | |
Tracey Warren Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2525 W Bancroft St, Toledo, OH 43607 Phone: 419-322-6661 | |
Woodward Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 701 E Central Ave, Toledo, OH 43608 Phone: 419-221-3072 |