Active NPI 1326153925 Individual Practitioner Male Practitioner

Dr. Van B Boggus , MD

Orthopaedic Surgery • Sylvania, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Van Boggus, MD is a certified Orthopaedic Surgery practicing in Sylvania, OH. With approximately 49 years of clinical experience since graduating from University Of Colorado School Of Medicine, Denver in 1977, Dr. Boggus delivers high-quality medical care to the local community at 6444 MONROE ST.

Dr. Boggus accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, dexamethasone sodium phosphate, 1 mg, established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6444 Monroe St
Suite 3

Sylvania, OH 435601454

Telephone 4198852553

Fax 4198857070

Associated Practice Facility / Clinic

🏢 Empicare, Inc. Facility NPI 1386795631

Medicare Profile & Education

Medical School

University Of Colorado School Of Medicine, Denver

Graduation Year

1977

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Sylvania, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

49 Yrs +5.0 yrs vs City Avg

City Avg: 44.0 Yrs

State Avg: 25.4 Yrs

Regional Practice Density

4 Specialists

Practicing in Sylvania, OH (984 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Boggus (49 Years) 49 Yrs

Sylvania Specialty Average (44.0 Years) 44.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	706	27	$0.28	$0.11
99213 Established patient office or other outpatient visit, typically 15 minutes	356	237	$141.00	$85.15
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	116	109	$204.00	$111.69
99231 Follow-up hospital inpatient care per day, typically 15 minutes	111	62	$77.69	$47.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	86	75	$83.00	$52.82
22513 Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance	68	63	$1314.00	$480.50
22515 Treatment of broken spine bone with stabilizing device, each additional segment	65	42	$545.00	$206.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	59	59	$209.00	$104.94
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	46	44	$1388.30	$438.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	33	$208.00	$119.14
20610 Aspiration and/or injection of fluid from large joint	36	21	$140.94	$66.17
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	29	22	$142.00	$74.65
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	17	$103.00	$50.04
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$320.00	$158.34
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$144.00	$67.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	4,500	68	$32.00	$22.77
J1100 Injection, dexamethasone sodium phosphate, 1 mg	601	27	$0.28	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	350	223	$141.00	$85.14
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	143	137	$204.48	$114.99
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	142	122	$83.00	$53.32
99231 Follow-up hospital inpatient care per day, typically 15 minutes	134	68	$78.00	$48.14
22515 Treatment of broken spine bone with stabilizing device, each additional segment	81	44	$545.00	$212.17
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	74	67	$48.00	$13.19
22513 Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance	65	58	$1452.65	$494.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	52	44	$142.00	$76.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$209.00	$105.94
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	50	46	$1175.00	$460.61
20610 Aspiration and/or injection of fluid from large joint	41	29	$141.58	$64.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	29	$208.00	$119.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$320.00	$159.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	8,460	92	$31.78	$21.31
J1100 Injection, dexamethasone sodium phosphate, 1 mg	796	27	$0.28	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	289	207	$141.00	$87.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	166	85	$142.00	$69.24
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	143	133	$204.50	$99.53
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	115	87	$48.00	$13.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	101	84	$208.00	$123.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$320.00	$162.63
22513 Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance	54	52	$1493.13	$504.79
20610 Aspiration and/or injection of fluid from large joint	49	28	$156.53	$73.82
22515 Treatment of broken spine bone with stabilizing device, each additional segment	43	26	$545.00	$217.87
72100 X-ray of lower and sacral spine, 2-3 views	40	38	$66.00	$38.26
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	38	38	$1175.00	$468.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	31	$83.00	$54.24
72070 X-ray of middle spine, 2 views	32	31	$64.00	$31.59
72080 X-ray of middle and lower spine, 2 views	29	29	$58.00	$33.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$209.00	$108.51
73562 X-ray of knee, 3 views	28	25	$70.07	$42.48
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	16	16	$2892.00	$1184.15
27245 Treatment of broken neck of thigh bone with bone implant	14	13	$3091.21	$1259.06
73502 X-ray of hip, 2-3 views	13	13	$73.69	$42.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	8,100	89	$32.00	$20.62
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,024	30	$0.28	$0.15
99213 Established patient office or other outpatient visit, typically 15 minutes	287	204	$141.00	$88.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	169	87	$140.22	$69.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	140	107	$208.80	$125.60
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	130	124	$203.89	$100.14
22515 Treatment of broken spine bone with stabilizing device, each additional segment	81	45	$548.64	$221.34
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	80	55	$83.40	$13.64
72080 X-ray of middle and lower spine, 2 views	78	65	$57.08	$32.36
22513 Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance	72	69	$1296.56	$513.46
72100 X-ray of lower and sacral spine, 2-3 views	70	62	$66.00	$37.75
20610 Aspiration and/or injection of fluid from large joint	59	38	$154.00	$74.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	58	58	$320.00	$161.65
73562 X-ray of knee, 3 views	55	39	$68.22	$42.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$209.00	$109.16
72070 X-ray of middle spine, 2 views	51	47	$64.00	$31.00
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	37	36	$1160.38	$472.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	32	$83.00	$53.85
73502 X-ray of hip, 2-3 views	28	21	$78.00	$44.12
73030 X-ray of shoulder, minimum of 2 views	26	20	$51.96	$31.28
27245 Treatment of broken neck of thigh bone with bone implant	22	22	$2977.00	$1230.08
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	13	$100.43	$51.09
27447 Replacement of knee joint, both sides of knee	11	11	$3285.00	$1289.81
20610 Aspiration and/or injection of fluid from large joint	11	11	$128.73	$48.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	7,680	84	$32.00	$19.58
J1100 Injection, dexamethasone sodium phosphate, 1 mg	941	31	$0.28	$0.13
99213 Established patient office or other outpatient visit, typically 15 minutes	417	259	$140.88	$72.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	153	91	$140.04	$71.87
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	142	135	$203.48	$103.73
72100 X-ray of lower and sacral spine, 2-3 views	129	105	$65.66	$36.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	93	93	$209.00	$103.61
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	92	65	$48.00	$13.88
20610 Aspiration and/or injection of fluid from large joint	71	37	$136.31	$69.35
22515 Treatment of broken spine bone with stabilizing device, each additional segment	69	39	$5107.57	$218.36
72080 X-ray of middle and lower spine, 2 views	68	59	$55.47	$30.31
72070 X-ray of middle spine, 2 views	67	57	$63.37	$30.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	59	55	$83.00	$43.63
73562 X-ray of knee, 3 views	56	44	$72.98	$46.52
22513 Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance	56	52	$8838.75	$502.63
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	44	41	$1177.05	$482.21
73502 X-ray of hip, 2-3 views	38	31	$75.63	$40.64
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	14	$78.00	$39.79
27245 Treatment of broken neck of thigh bone with bone implant	22	21	$2914.36	$1259.20
20610 Aspiration and/or injection of fluid from large joint	17	17	$124.94	$48.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$208.00	$106.77
27236 Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	14	14	$2892.00	$1220.20
73030 X-ray of shoulder, minimum of 2 views	14	13	$55.36	$30.70
20982 Destruction of 1 or more bone growths accessed through the skin	11	11	$8054.82	$175.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	8,402	95	$31.55	$18.37
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,411	47	$0.28	$0.11
99213 Established patient office or other outpatient visit, typically 15 minutes	588	359	$141.00	$71.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	163	89	$142.00	$72.02
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	139	92	$48.00	$16.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	137	137	$209.00	$104.86
72080 X-ray of middle and lower spine, 2 views	129	98	$55.81	$30.72
72100 X-ray of lower and sacral spine, 2-3 views	127	96	$64.06	$32.84
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	115	108	$204.37	$102.98
22515 Treatment of broken spine bone with stabilizing device, each additional segment	108	57	$9941.09	$227.33
73562 X-ray of knee, 3 views	105	71	$70.83	$47.23
72070 X-ray of middle spine, 2 views	101	73	$61.20	$30.56
22513 Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance	97	89	$16816.60	$510.98
20610 Aspiration and/or injection of fluid from large joint	96	53	$130.29	$64.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	93	85	$208.00	$105.68
73502 X-ray of hip, 2-3 views	66	45	$75.26	$38.32
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	65	59	$1184.00	$484.15
99221 Initial hospital inpatient care per day, typically 30 minutes	45	43	$198.44	$100.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	36	$83.00	$43.42
73030 X-ray of shoulder, minimum of 2 views	34	24	$50.91	$29.70
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	13	$78.00	$39.04
73552 X-ray of thigh bone, minimum 2 views	26	16	$55.42	$27.62
20610 Aspiration and/or injection of fluid from large joint	23	20	$128.26	$47.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$320.00	$160.54
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	18	18	$103.00	$51.59
20982 Destruction of 1 or more bone growths accessed through the skin	18	17	$8490.00	$206.82
27245 Treatment of broken neck of thigh bone with bone implant	15	14	$2977.00	$1235.30
73522 X-ray of both hips, 3-4 views	13	11	$92.00	$43.80
76000 Imaging guidance for procedure, 60 minutes or less	12	11	$17.42	$15.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	7,380	81	$32.00	$17.89
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,222	50	$0.28	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	449	292	$141.00	$69.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	280	209	$208.00	$102.74
72100 X-ray of lower and sacral spine, 2-3 views	179	139	$63.77	$31.30
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	166	14	$34.00	$11.94
72070 X-ray of middle spine, 2 views	164	124	$61.76	$30.30
99221 Initial hospital inpatient care per day, typically 30 minutes	161	153	$199.57	$98.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	138	70	$140.91	$70.86
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	114	77	$47.73	$19.36
20610 Aspiration and/or injection of fluid from large joint	106	63	$125.79	$61.62
22515 Treatment of broken spine bone with stabilizing device, each additional segment	96	57	$10034.00	$225.04
73562 X-ray of knee, 3 views	96	73	$75.67	$40.45
22513 Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance	89	82	$16645.00	$513.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$209.00	$103.76
72080 X-ray of middle and lower spine, 2 views	65	59	$56.34	$30.80
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	56	53	$10386.98	$482.95
73502 X-ray of hip, 2-3 views	55	43	$72.91	$35.91
99231 Follow-up hospital inpatient care per day, typically 15 minutes	50	24	$78.00	$38.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	36	34	$83.00	$41.90
20610 Aspiration and/or injection of fluid from large joint	24	23	$121.21	$45.66
73030 X-ray of shoulder, minimum of 2 views	24	20	$54.04	$28.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$320.00	$153.30
73100 X-ray of wrist, 2 views	16	14	$48.38	$25.60
76000 Imaging guidance for procedure, 60 minutes or less	14	14	$28.14	$8.16
27245 Treatment of broken neck of thigh bone with bone implant	13	12	$2977.00	$1218.43
27125 Partial replacement of thigh bone at hip joint with prosthesis	12	12	$2739.00	$1121.71
27447 Replacement of knee joint, both sides of knee	11	11	$3285.00	$1344.11
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	11	11	$103.00	$51.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	7,201	82	$32.55	$16.51
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,492	59	$0.28	$0.11
J7325 Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg	816	12	$34.00	$12.29
99213 Established patient office or other outpatient visit, typically 15 minutes	526	342	$141.00	$69.48
72100 X-ray of lower and sacral spine, 2-3 views	223	159	$64.82	$31.90
72070 X-ray of middle spine, 2 views	204	145	$62.97	$31.12
99221 Initial hospital inpatient care per day, typically 30 minutes	164	157	$197.01	$98.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	128	114	$208.00	$102.48
73562 X-ray of knee, 3 views	110	79	$69.78	$35.33
99231 Follow-up hospital inpatient care per day, typically 15 minutes	103	58	$76.95	$38.08
20610 Aspiration and/or injection of fluid from large joint	99	65	$148.86	$66.29
22515 Treatment of broken spine bone with stabilizing device, each additional segment	93	62	$9884.84	$219.47
22513 Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance	87	74	$16468.24	$511.37
73502 X-ray of hip, 2-3 views	86	64	$76.70	$37.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	79	79	$209.00	$101.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	66	59	$83.00	$40.95
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	59	55	$16553.58	$479.13
99202 New patient office or other outpatient visit, typically 20 minutes	51	51	$144.00	$70.02
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	42	36	$48.00	$23.29
73030 X-ray of shoulder, minimum of 2 views	31	23	$52.87	$26.58
72080 X-ray of middle and lower spine, 2 views	26	24	$58.00	$27.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	17	$137.65	$70.41
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$270.00	$133.62
73560 X-ray of knee, 1-2 views	16	15	$52.75	$24.92
73600 X-ray of ankle, 2 views	16	11	$51.13	$25.35
27447 Replacement of knee joint, both sides of knee	15	15	$3285.00	$1338.74
20610 Aspiration and/or injection of fluid from large joint	14	14	$126.43	$45.80
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	12	$103.00	$51.35
72170 X-ray of pelvis, 1-2 views	12	11	$56.79	$27.33

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License OH 35-047650 B

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0492391 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Robert Hartwig , MD

Orthopaedic Surgery - Hand Surgery

NPI 1255446845

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active May 31, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location May 31, 2011

Registered at 6444 MONROE ST, SUITE 3, SYLVANIA, OH 435601454 (Tel: 4198852553)

📍

Updated Business Mailing Address May 31, 2011

Registered at 6444 MONROE ST, SUITE 3, SYLVANIA, OH 435601454 (Tel: 4198852553)

👤

Provider Name / Credentials Updated May 31, 2011

Recorded as VAN BOGGUS, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2011

Orthopaedic Surgery (License #35-047650 B in OH)

🟢

Initial NPI Registration & Enumeration August 21, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1326153925

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 21, 2006

Last Update: May 31, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6444 Monroe St, Suite 3

Sylvania, OH 435601454

Phone: 4198852553

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.