REYNOLDS ROAD SURGICAL CENTER LTD NPI 1447212535

NPI Information

NPI: 1447212535
Provider Name: REYNOLDS ROAD SURGICAL CENTER LTD

Doing Business As: WILDWOOD SURGICAL CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
2865 N REYNOLDS RD
SUITE 190
TOLEDO, OH
ZIP 43615
Phone: (419) 578-7500
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REYNOLDS ROAD SURGICAL CENTER LTD is an ambulatory surgical clinic center in Toledo, OH. REYNOLDS ROAD SURGICAL CENTER LTD NPI is 1447212535. The provider is registered as an organization entity type.
The provider Is Doing Business As Wildwood Surgical Center.

The provider's business location address is:

2865 N REYNOLDS RD
SUITE 190
TOLEDO, OH
ZIP 43615-068
Phone: (419) 578-7500
Fax: (419) 539-6320

The provider's authorized official is Kelly G Shirer .
The authorized official title is Manager Of Finance and has the following contact phone number (419) 578-7500.

The enumeration date for this NPI number is 4/4/2006 and was last updated on 4/22/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	0437AS	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	03422	OTHER	OHIO	PARAMOUNT HEALTHCARE
2	=========003	OTHER	OHIO	MEDICAL MUTUAL OF OH
3	000000156919	OTHER		BCBS
4	RE3610971	MEDICARE ID-TYPE UNSPECIFIED
5	2059669	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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