Active NPI 1447364773 Individual Practitioner Male Practitioner

Dr. Thomas Guido Andreshak , MD

Orthopaedic Surgery • Sylvania, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Andreshak, MD is a certified Orthopaedic Surgery practicing in Sylvania, OH. With approximately 39 years of clinical experience since graduating from Chicago College Of Medicine And Surgery in 1987, Dr. Andreshak delivers high-quality medical care to the local community at 7640 SYLVANIA AVE.

Dr. Andreshak is affiliated with The Orthopaedic Network Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, denosumab, 1 mg, established patient outpatient office visit, x-ray of lower and sacral spine, 2-3 views. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7640 Sylvania Ave
Ste. B

Sylvania, OH 435609729

Telephone 4195177500

Fax 4195177501

Associated Practice Facility / Clinic

🏢 Primary Care Center Inc Facility NPI 1386733004

Medicare Profile & Education

Medical School

Chicago College Of Medicine And Surgery

Graduation Year

1987

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

39 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

82.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Andreshak (39 Years) 39 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
J0897 Injection, denosumab, 1 mg	3,300	41	$26.05	$25.18
99213 Established patient office or other outpatient visit, typically 15 minutes	407	232	$130.00	$85.07
72100 X-ray of lower and sacral spine, 2-3 views	127	76	$102.00	$36.26
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	80	$225.00	$117.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	93	93	$178.00	$104.37
72110 X-ray of lower and sacral spine, minimum of 4 views	66	62	$140.00	$46.82
72040 X-ray of upper spine, 2-3 views	62	36	$94.00	$35.31
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	55	41	$45.00	$13.34
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	53	37	$585.00	$246.52
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	25	23	$6839.00	$405.84
22630 Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc	23	23	$5695.00	$1292.57
72050 X-ray of upper spine, 4 or 5 views	20	20	$130.00	$48.86
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	20	18	$4013.00	$840.64
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	19	19	$2500.00	$233.84
22840 Placement of stabilizing device to back of 1 spine bone in neck	17	17	$3010.00	$722.77
22515 Treatment of broken spine bone with stabilizing device, each additional segment	16	13	$4146.00	$206.69
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	14	14	$3808.00	$1577.54
72070 X-ray of middle spine, 2 views	12	12	$100.00	$30.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$211.00	$124.27
22513 Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance	11	11	$6878.00	$484.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	3,900	42	$25.00	$23.31
99213 Established patient office or other outpatient visit, typically 15 minutes	517	252	$130.00	$85.37
72100 X-ray of lower and sacral spine, 2-3 views	145	92	$101.65	$36.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	111	97	$224.10	$120.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	81	81	$178.00	$106.97
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	65	42	$45.00	$13.34
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	52	32	$585.00	$244.46
72040 X-ray of upper spine, 2-3 views	48	33	$94.00	$36.99
72110 X-ray of lower and sacral spine, minimum of 4 views	48	45	$140.00	$47.80
22513 Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance	28	25	$6878.00	$494.15
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	23	23	$4013.00	$812.50
72070 X-ray of middle spine, 2 views	22	19	$100.00	$30.79
72050 X-ray of upper spine, 4 or 5 views	21	21	$130.00	$49.59
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	20	18	$6839.00	$444.60
63048 Partial removal of spine bone with release of spinal cord and/or nerves	19	16	$786.00	$205.89
22630 Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc	16	16	$5695.00	$1439.40
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	16	16	$2500.00	$253.07
22842 Placement of stabilizing device to back, 3-6 spine bone segments	14	14	$3016.00	$747.43
73502 X-ray of hip, 2-3 views	14	13	$84.00	$43.67
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$85.00	$53.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$211.00	$125.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	11	$295.00	$167.58
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	12	12	$4505.33	$1002.89
22840 Placement of stabilizing device to back of 1 spine bone in neck	12	12	$3010.00	$741.53
22551 Fusion of upper spine bone with removal of disc and release of spinal cord or nerve, 1 disc	11	11	$3808.00	$1669.19
22612 Fusion of spine in lower back	11	11	$5612.00	$1503.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	3,240	33	$25.00	$21.62
99213 Established patient office or other outpatient visit, typically 15 minutes	425	253	$129.65	$87.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	140	140	$178.00	$107.68
72100 X-ray of lower and sacral spine, 2-3 views	137	96	$102.00	$37.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	117	100	$175.00	$123.74
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	54	33	$45.00	$13.70
72110 X-ray of lower and sacral spine, minimum of 4 views	51	51	$140.00	$48.77
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	46	26	$585.00	$258.71
22513 Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance	46	40	$6878.00	$504.41
72040 X-ray of upper spine, 2-3 views	43	26	$94.00	$37.62
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	35	32	$6839.00	$469.69
63048 Partial removal of spine bone with release of spinal cord and/or nerves	33	21	$786.00	$210.79
22515 Treatment of broken spine bone with stabilizing device, each additional segment	31	20	$4146.00	$217.27
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	26	26	$4013.00	$996.84
63052 Partial removal of bone of single segment of spine in lower back with release of spinal cord and/or nerves during fusion of spine in lower back	16	16	$2500.00	$259.27
72020 X-ray of spine, 1 view	15	12	$64.00	$23.48
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	15	15	$294.00	$99.59
22630 Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc	15	15	$5695.00	$1528.59
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$70.00	$54.58
73502 X-ray of hip, 2-3 views	14	11	$84.00	$44.48
22842 Placement of stabilizing device to back, 3-6 spine bone segments	12	12	$3016.00	$764.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	2,640	24	$25.00	$20.57
99213 Established patient office or other outpatient visit, typically 15 minutes	275	191	$125.00	$88.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	144	116	$175.00	$126.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	139	139	$178.00	$108.97
72100 X-ray of lower and sacral spine, 2-3 views	83	63	$102.00	$37.30
72110 X-ray of lower and sacral spine, minimum of 4 views	52	49	$140.00	$47.26
22513 Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance	44	42	$6878.00	$498.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	41	$70.00	$54.37
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	42	42	$4013.00	$785.33
22515 Treatment of broken spine bone with stabilizing device, each additional segment	41	25	$4146.00	$221.34
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	37	34	$6839.00	$464.38
72040 X-ray of upper spine, 2-3 views	34	27	$94.00	$37.43
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	34	26	$585.00	$255.18
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	33	23	$45.00	$13.64
63048 Partial removal of spine bone with release of spinal cord and/or nerves	27	23	$786.00	$208.16
22630 Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc	20	20	$5695.00	$1456.45
72020 X-ray of spine, 1 view	17	12	$64.00	$23.55
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	16	$105.00	$67.31
22840 Placement of stabilizing device to back of 1 spine bone in neck	14	14	$3010.00	$723.43
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	13	13	$4678.62	$1134.04
72070 X-ray of middle spine, 2 views	12	11	$100.00	$31.00
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$178.00	$82.90
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	11	11	$80.00	$76.14

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	2,820	27	$20.64	$19.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	257	184	$175.00	$103.07
99213 Established patient office or other outpatient visit, typically 15 minutes	226	167	$125.00	$71.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	83	83	$178.00	$103.72
72100 X-ray of lower and sacral spine, 2-3 views	80	61	$102.00	$35.94
22513 Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance	59	49	$6878.00	$516.45
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	52	52	$253.00	$158.17
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	47	27	$80.00	$73.96
72040 X-ray of upper spine, 2-3 views	43	29	$94.00	$35.98
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	38	37	$6839.00	$478.75
22515 Treatment of broken spine bone with stabilizing device, each additional segment	37	29	$4146.00	$225.83
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	34	33	$294.00	$103.51
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	34	23	$585.00	$266.48
72110 X-ray of lower and sacral spine, minimum of 4 views	34	34	$140.00	$44.48
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	31	30	$4013.00	$900.83
63048 Partial removal of spine bone with release of spinal cord and/or nerves	22	17	$786.00	$217.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	18	$105.00	$71.77
72020 X-ray of spine, 1 view	16	13	$64.00	$22.90
73502 X-ray of hip, 2-3 views	14	13	$84.00	$40.28
22630 Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc	12	12	$5695.00	$1468.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	2,940	27	$20.00	$18.62
99213 Established patient office or other outpatient visit, typically 15 minutes	278	200	$122.36	$70.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	250	183	$171.66	$102.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	123	123	$178.00	$102.22
72100 X-ray of lower and sacral spine, 2-3 views	118	84	$102.00	$33.49
22513 Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance	64	55	$6878.00	$505.64
72040 X-ray of upper spine, 2-3 views	50	32	$93.06	$33.76
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	49	27	$80.00	$73.74
22515 Treatment of broken spine bone with stabilizing device, each additional segment	48	32	$4146.00	$224.31
72110 X-ray of lower and sacral spine, minimum of 4 views	42	42	$140.00	$45.83
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	38	35	$6839.00	$482.12
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	26	26	$294.00	$101.61
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	23	14	$585.00	$256.29
63048 Partial removal of spine bone with release of spinal cord and/or nerves	21	13	$786.00	$214.10
20610 Aspiration and/or injection of fluid from large joint	18	11	$255.00	$55.07
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	18	18	$4013.00	$861.24
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	17	17	$105.00	$71.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$253.00	$150.96
72070 X-ray of middle spine, 2 views	11	11	$100.00	$31.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	3,180	34	$20.00	$17.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	305	219	$153.00	$101.55
99213 Established patient office or other outpatient visit, typically 15 minutes	256	193	$104.00	$68.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	109	109	$177.84	$101.66
72100 X-ray of lower and sacral spine, 2-3 views	103	78	$101.50	$32.38
72110 X-ray of lower and sacral spine, minimum of 4 views	67	65	$140.00	$45.85
22513 Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance	63	49	$6878.00	$506.64
22515 Treatment of broken spine bone with stabilizing device, each additional segment	62	36	$4146.00	$225.04
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	55	50	$6839.00	$482.94
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	53	34	$80.00	$74.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$253.00	$158.91
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	47	45	$294.00	$102.14
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	38	24	$585.00	$252.45
20610 Aspiration and/or injection of fluid from large joint	35	19	$255.00	$49.21
72040 X-ray of upper spine, 2-3 views	35	21	$94.00	$29.71
63048 Partial removal of spine bone with release of spinal cord and/or nerves	24	16	$786.00	$214.19
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	23	22	$4013.00	$741.71
72070 X-ray of middle spine, 2 views	23	20	$100.00	$30.50
J1030 Injection, methylprednisolone acetate, 40 mg	23	15	$7.00	$5.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	20	19	$105.00	$71.31
73502 X-ray of hip, 2-3 views	19	13	$77.37	$34.35
22630 Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc	16	16	$5695.00	$1368.36
22842 Placement of stabilizing device to back, 3-6 spine bone segments	14	14	$3016.00	$773.17
63030 Partial removal of bone with release of spinal cord or spinal nerves of 1 interspace in lower spine	14	14	$4344.43	$1019.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	3,180	32	$20.00	$16.60
99213 Established patient office or other outpatient visit, typically 15 minutes	366	233	$104.00	$69.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	197	166	$153.00	$101.05
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	156	156	$178.00	$101.40
72100 X-ray of lower and sacral spine, 2-3 views	92	61	$101.45	$32.33
72110 X-ray of lower and sacral spine, minimum of 4 views	61	59	$140.00	$44.05
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	53	32	$80.00	$68.94
22513 Treatment of broken middle spine bone with placement of stabilizing device using imaging guidance	48	39	$6878.00	$519.58
22515 Treatment of broken spine bone with stabilizing device, each additional segment	47	28	$4146.00	$225.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	43	41	$105.00	$70.44
72040 X-ray of upper spine, 2-3 views	38	27	$94.00	$30.05
22514 Injection of bone cement into body of lower spine bone accessed through the skin using imaging guidance	36	32	$6839.00	$469.88
22853 Insertion of cage or mesh device to spine bone and disc space during spine fusion	30	24	$585.00	$263.88
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	29	29	$4013.00	$653.08
20610 Aspiration and/or injection of fluid from large joint	28	17	$255.00	$50.33
63048 Partial removal of spine bone with release of spinal cord and/or nerves	26	22	$786.00	$213.72
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	24	24	$294.00	$101.89
22867 Insertion of stabilizing or separating device into lower spine at single level with open decompression	23	23	$2168.00	$934.69
J1030 Injection, methylprednisolone acetate, 40 mg	21	13	$7.00	$5.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	18	$70.00	$39.55
73502 X-ray of hip, 2-3 views	18	15	$84.00	$38.66
72050 X-ray of upper spine, 4 or 5 views	17	17	$130.00	$42.48
22842 Placement of stabilizing device to back, 3-6 spine bone segments	16	16	$3016.00	$771.54
22630 Fusion of lower spine bone and partial removal of spine bone or disc through back, 1 disc	15	15	$5695.00	$1431.59
72070 X-ray of middle spine, 2 views	13	13	$100.00	$31.85
22840 Placement of stabilizing device to back of 1 spine bone in neck	11	11	$3010.00	$768.43

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License OH 35062765A

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

0920070 (OH)

Medicaid State Provider ID

104409641 (MI)

Hospital & Practice Group Affiliations

The Orthopaedic Network Inc

7630 Kings Point Rd, Toledo, OH 436171500

Phone: 4195177500

The Orthopaedic Network Inc

960 W Wooster St, Bowling Green, OH 434022646

Phone: 4193536866

The Orthopaedic Network Inc

950 W Wooster St, Bowling Green, OH 434022603

Phone: 4193548900

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Andrew Blankenship , DO

Orthopaedic Surgery - Orthopaedic Surgery of the Spine

NPI 1538528567

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address September 11, 2018

Registered at 7630 KINGS POINTE RD, TOLEDO, OH 436171500 (Tel: 4195177500)

✅

NPI Profile Active April 08, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location April 08, 2008

Registered at 7640 SYLVANIA AVE, STE. B, SYLVANIA, OH 435609729 (Tel: 4195177500)

📍

Updated Business Mailing Address April 08, 2008

Registered at 7640 SYLVANIA AVE, STE. B, SYLVANIA, OH 435609729 (Tel: 4195177500)

👤

Provider Name / Credentials Updated April 08, 2008

Recorded as THOMAS ANDRESHAK, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2008

Orthopaedic Surgery (License #35062765A in OH)

🟢

Initial NPI Registration & Enumeration August 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1447364773

Entity Type:

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

Enumeration Date: August 17, 2006

Last Update: September 11, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

7630 Kings Pointe Rd

Toledo, OH 436171500

Phone: 4195177500

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.