SUSAN M FEDERMAN (NPI# 1063405033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063405033 |
| Entity Type | Individual |
| Full Name | SUSAN M FEDERMAN |
| Credential | MD |
| Practice Address |
3425 Executive Pkwy Ste 117 Toledo OH 43606-1333 |
| Mailing Address |
4235 Secor Rd Toledo OH 43623-4231 |
| Practice Telephone | 4194692102 |
| Mailing Telephone | 4198433627 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2020-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 35.059184 | OH | Allopathic & Osteopathic Physicians |
| Y | 207Q00000X | Family Medicine | 35059184 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0841405 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3909 Woodley Rd, Suite 500, Toledo, OH 436061169 | 4192912670 | 4194796999 |
| Street Address |
3425 EXECUTIVE PKWY STE 117 |
| City | TOLEDO |
| State | OH |
| Zip Code | 43606-1333 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578172359 | Hebah Al Absi | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr. Conrad Jobst Tower, Floor E, Toledo, OH 43606 | 2020-07-28 |
| 1487278594 | Daniel Mark Barnett | Student in an Organized Health Care Education/Training Program | 2109 Hughes Dr., Jobst Tower, Floor E, Toledo, OH 43606 | 2020-06-04 |
| 1215565908 | Zara Hussain | Student in an Organized Health Care Education/Training Program | 2109 Hughes Drive., Jobst Tower, Floor E, Toledo, OH 43606 | 2020-03-30 |
| 1821634643 | Shawn Tompkins Jr. | Case Manager/Care Coordinator | 3450 Central, Sutiee 366 E, Toledo, OH 43606 | 2019-11-27 |
| 1972065811 | Toledo Behavior Therapy LLC | Psychologist | 2801 W. Bancroft St., Mail Stop 948 Uh5280, Toledo, OH 43606 | 2019-04-01 |
| 1710469135 | Kari Oberlin | Social Worker | 3903 Woodley Rd Suite 300, Toledo, OH 43606 | 2018-09-01 |
| 1750877759 | Maria Rabbani | Student in an Organized Health Care Education/Training Program | Neuroscience Center, 2130 West Central Ave, Toledo, OH 43606 | 2018-07-03 |
| 1770075350 | Kelly Ann Mcclure | Student in an Organized Health Care Education/Training Program | The Toledo Hospital 2142 N. Cove Blvd, 3rd Floor Legacy, Toledo, OH 43606 | 2018-05-31 |
| 1790289874 | Sohaib Muhammad Lateef | Student in an Organized Health Care Education/Training Program | 2130 West Central Ave, Toledo, OH 43606 | 2018-03-22 |
| 1063916427 | Oxana Zarudskaya | Student in an Organized Health Care Education/Training Program | Ut Dept Ob/gyn The Toledo Hospital 2142 N. Cove Blvd, 3rd Floor Legacy, Toledo, OH 43606 | 2018-03-21 |
| Find all providers in zip 43606 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386290302 | Concertohealth of Ohio LLC | Family Medicine | 5553 Southwyck Boulevard, Suite 101, Toledo, OH 43614 | 2019-08-15 |
| 1346724184 | Accupuncture Center of Toledo LLC | Family Medicine | 4739 Monroe St Ste B, Toledo, OH 43623-4342 | 2018-09-18 |
| 1861985251 | Khin Sie | Family Medicine | Rocket Pediatrics, Ruppert Health Center, 3125 Transverse Drive., Toledo, OH 43614 | 2018-06-11 |
| 1659862704 | At Home Physicians Group | Family Medicine | 211 N Reynolds Rd, Toledo, OH 43615-5200 | 2018-05-24 |
| 1538695705 | Tarik Afnoukh | Family Medicine | 3454 Oak Alley Ct Ste 214, Toledo, OH 43606-1370 | 2017-05-10 |
| 1851826671 | Alexander Lapka | Family Medicine | 2865 N Reynolds Rd Ste 170, Toledo, OH 43615-2076 | 2017-04-30 |
| 1689094070 | Shereen Louka | Family Medicine | 2213 Cherry St Unit 1c, Toledo, OH 43608-2603 | 2014-04-23 |
| 1053738096 | Mohammad Alaa Abdulrasool Sr. | Family Medicine | 1425 Oak Hill Ct Apt 36, Toledo, OH 43614-2549 | 2014-03-27 |
| 1619394087 | Karen Striph | Family Medicine | 6846 Cloister Rd, Toledo, OH 43617-2204 | 2014-03-24 |
| 1104262906 | Visiting Medical Specialists of Ohio Inc | Family Medicine | 2718 Centennial Rd, Toledo, OH 43617-1829 | 2013-05-20 |
| Find all providers in TOLEDO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.