TODD MICHAEL NILES (NPI# 1073077715) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073077715 |
| Entity Type | Individual |
| Full Name | TODD MICHAEL NILES |
| Credential | NP |
| Practice Address |
5300 Harroun Rd Ste 304 Sylvania OH 43560-2146 |
| Mailing Address |
1 Seagate # 800 Toledo OH 43604-1558 |
| Practice Telephone | 4198241100 |
| Practice Fax Number | 4198241778 |
| Enumeration Date | 2019-01-28 |
| Last Update Date | 2020-03-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | 4704223808 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363L00000X | Nurse Practitioner | APRN.CNP.024070 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN251795 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 331 W Main St, Hudson, MI 492471051 | 5174482371 | 5174487313 |
| Street Address |
5300 HARROUN RD STE 304 |
| City | SYLVANIA |
| State | OH |
| Zip Code | 43560-2146 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497751192 | John C Zona | Family Medicine | 5300 Harroun Rd Ste 304, Sylvania, OH 43560-2146 | 2005-06-27 |
| 1639553373 | Jaclyn Lachmiller | Nurse Practitioner | 5300 Harroun Rd Ste 304, Sylvania, OH 43560-2146 | 2015-07-13 |
| 1225392053 | Effiok Ekpenyong | Family Medicine | 5300 Harroun Rd Ste 304, Sylvania, OH 43560-2182 | 2012-06-26 |
| 1457492357 | Stephen R Thomas | Pharmacist | 5300 Harroun Rd Ste 304, Sylvania, OH 43560-2182 | 2007-02-12 |
| 1174529861 | Farzana N Tausif | Family Medicine | 5300 Harroun Rd Ste 304, Sylvania, OH 43560-2146 | 2005-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295332732 | Jonelyn Hutchinson | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5628 Fox Hollow Ct, Sylvania, OH 43560 | 2020-10-07 |
| 1285190611 | Karen Marie Mccartney | Occupational Therapy Assistant | Charter of Oak, 6805 Sylvania, Sylvainia, OH 43560 | 2019-02-11 |
| 1063936136 | Christina Cousino | Family Medicine | 7228 Ridgeland Rd, Sylvania, OH 43560 | 2017-08-01 |
| 1053858159 | Scott Campbell | Counselor | 5808 Monroe St Suite A2, Sylvania, OH 43560 | 2017-01-26 |
| 1932658549 | Trilogy Healthcare of Sylvania LLC | Skilled Nursing Facility | 5351 Mitchaw Road, Sylvania, OH 43560 | 2016-09-23 |
| 1730546300 | Ashley Lynn Sendelbach | Speech-Language Pathologist | 4747 N. Holland Sylvania Rd., Sylvania, OH 43560 | 2016-01-27 |
| 1881078533 | Khader Mustafa | Internal Medicine | 5700 Monroe St Unit 202, Sylvania, OH 43560 | 2015-07-13 |
| 1013391903 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 2631 Davidson Drive, Toledo, OH 43560 | 2015-07-10 |
| 1104212596 | Emily Elyse Miller | Speech-Language Pathologist | 4121 King Road, Maumee, OH 43560 | 2015-04-13 |
| 1750706404 | Victoria Davis | Speech-Language Pathologist | 7962 Millford, Sylvania, OH 43560 | 2014-03-04 |
| Find all providers in zip 43560 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174131593 | Barbara Bauer | Nurse Practitioner | 6013 Eaglewood Dr, Sylvania, OH 43560-3665 | 2020-07-22 |
| 1962405092 | Jill D. Johnson | Nurse Practitioner | 5800 Monroe St, Bldg G, Sylvania, OH 43560-2263 | 2005-05-23 |
| 1982203162 | Monica L Vasquez | Nurse Practitioner | 5308 Harroun Rd Ste 55, Sylvania, OH 43560-2174 | 2020-10-20 |
| 1881200798 | Bernadine J Zirker | Nurse Practitioner | 5700 Monroe St, Sylvania, OH 43560-2767 | 2020-09-17 |
| 1831734615 | Ashley Lynn Good | Nurse Practitioner | 5700 Monroe St, Sylvania, OH 43560-2767 | 2019-11-15 |
| 1457901092 | Kassidy B Bishop | Nurse Practitioner | 5308 Harroun Rd # 285, Sylvania, OH 43560-2193 | 2019-09-16 |
| 1801360086 | Amanda Nuckols | Nurse Practitioner | 5308 Harroun Rd Ste 55, Sylvania, OH 43560-2174 | 2019-01-22 |
| 1689173767 | Erin Marie Hamel | Nurse Practitioner | 5220 Alexis Rd, Sylvania, OH 43560-2504 | 2018-02-05 |
| 1609315639 | Stephanie Lance | Nurse Practitioner | 5700 Monroe St Unit 103, Sylvania, OH 43560-2771 | 2017-02-23 |
| 1578007456 | Derik S Vincent | Nurse Practitioner | 5700 Monroe St, Suite 209, Sylvania, OH 43560-2767 | 2016-12-12 |
| Find all providers in SYLVANIA | ||||
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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.