UNIVERSITY OF TOLEDO PHYSICIANS, LLC (NPI# 1215240676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215240676 |
| Entity Type | Organization |
| Organization Name | UNIVERSITY OF TOLEDO PHYSICIANS, LLC |
| Other Organization Name | UTP SPORTS MEDICINE |
| Practice Address |
3000 Arlington Ave Toledo OH 43614-2595 |
| Mailing Address |
3355 Glendale Ave Third Floor Toledo OH 43614-2426 |
| Practice Telephone | 4193833761 |
| Practice Fax Number | 4193836170 |
| Mailing Telephone | 4193837100 |
| Mailing Fax Number | 4193832000 |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2019-06-14 |
| Authorized Official Name | DR. KRIS BRICKMAN (UTP PRESIDENT) |
| Authorized Official Telephone | 4193837100 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | UNIVERSITY OF TOLEDO PHYSICIANS CLINICAL FACULTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0329226 | 05 |
| Other Name | Type Code |
|---|---|
| UTP Sports Medicine | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760722243 | University of Toledo Physicians, LLC | Internal Medicine | 1325 Conference Dr, Toledo, OH 43614-8009 | 2013-02-21 |
| 1548403504 | University of Toledo Physicians, LLC | Internal Medicine | 2801 W Bancroft St, Student Services, Toledo, OH 43606-3328 | 2009-04-07 |
| Street Address |
3000 ARLINGTON AVE |
| City | TOLEDO |
| State | OH |
| Zip Code | 43614-2595 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801890645 | David C Allison | Surgery | 3000 Arlington Ave, Toledo, OH 43614-2595 | 2005-06-09 |
| 1841803541 | Rebecca Lynn Mincheff | Nurse Practitioner | 3000 Arlington Ave, Toledo, OH 43614-2598 | 2020-08-24 |
| 1912518788 | Alisa P Nammavong | Nurse Practitioner | 3000 Arlington Ave, Toledo, OH 43614-2598 | 2020-08-13 |
| 1336765643 | Jeff Russell | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave, Toledo, OH 43614-2595 | 2020-06-23 |
| 1700401825 | Jeremiah Thomas Hendra | Clinical Pharmacology | 3000 Arlington Ave, Toledo, OH 43614-2598 | 2020-06-15 |
| 1639794878 | Jenny Lee | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave, Toledo, OH 43614-2595 | 2020-06-13 |
| 1871117432 | Maria Elizabeth Kenner | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave, Toledo, OH 43614-2595 | 2020-05-29 |
| 1407470156 | Natalie Sirianni | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave, Toledo, OH 43614-2595 | 2020-05-28 |
| 1881217917 | Mohammad Yassen | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave, Toledo, OH 43614-2595 | 2020-05-23 |
| 1730702374 | David Joseph Lee | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave, Toledo, OH 43614-2598 | 2020-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194339168 | Chao Chun George Chang | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave. Mail Stop 1068, Department of Pathology, Toledo, OH 43614 | 2020-09-07 |
| 1902417926 | Heather Louise Perne | Nurse Practitioner | The University of Toledo Medical Center, 3000 Arlington Ave, Toledo, OH 43614 | 2020-08-13 |
| 1750910188 | Joseph Nabil Said Kamel | Student in an Organized Health Care Education/Training Program | 3120 Glendale Ave Ste L, Toledo, OH 43614 | 2020-04-07 |
| 1386290302 | Concertohealth of Ohio LLC | Family Medicine | 5553 Southwyck Boulevard, Suite 101, Toledo, OH 43614 | 2019-08-15 |
| 1154983120 | Yong Woo Jeon | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave, Mailstop 1132, Toledo, OH 43614 | 2019-06-30 |
| 1093372096 | Anwer Aldhaheri | Student in an Organized Health Care Education/Training Program | 3000 Arlington Ave, Ms 1095, Dowling Hall, Room 2153a, Toledo, OH 43614 | 2019-05-24 |
| 1073090205 | Syed Fahmeed Imam | Student in an Organized Health Care Education/Training Program | Ruppert Health Center, 3125 Transvers Dr, Toledo, OH 43614 | 2018-07-20 |
| 1861988875 | Sandeep Randhawa | Pediatrics | Rupert Health Centre, Utmc Campus, 3125, Transverse Drive, Toledo, OH 43614 | 2018-07-03 |
| 1861985251 | Khin Sie | Family Medicine | Rocket Pediatrics, Ruppert Health Center, 3125 Transverse Drive., Toledo, OH 43614 | 2018-06-11 |
| 1548765126 | Alex Lu | Emergency Medicine | 3000 Arlington Ave., Mailstop 1088, 2456 Dowling Hall, Toledo, OH 43614 | 2018-03-27 |
| Find all providers in zip 43614 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://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 Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255612107 | Promedica Central Physicians, LLC | Family Medicine | 2865 N Reynolds Rd, Suite 260, Toledo, OH 43615-2068 | 2011-09-06 |
| 1922012533 | The Orthopaedic Network, Inc | Family Medicine | 2865 N Reynolds Rd, Suite 160, Toledo, OH 43615-2068 | 2006-07-28 |
| 1588678742 | Luke Ragan | Family Medicine | 2865 N Reynolds Rd, Building A, Toledo, OH 43615-2068 | 2006-07-27 |
| 1487650339 | Roger John Kruse | Family Medicine | 2865 N Reynolds Rd, Ste 130, Toledo, OH 43615-2068 | 2005-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417467119 | Natalie Marie Dragovich | Family Medicine | 9228 Shepard Rd, Macedonia, OH 44056-1454 | 2017-10-07 |
| 1134547615 | Ryan E Hunt | Family Medicine | 140 Coleman's Crossing Blvd, Suite 110, Marysville, OH 43040 | 2014-04-02 |
| 1295152296 | Benjamin Ross Ahrens | Family Medicine | 4343 All Seasons Dr Ste 100, Hilliard, OH 43026-1961 | 2014-03-27 |
| 1083039309 | Jamie Delvecchio | Family Medicine | 150 7th Ave Ste 200, Chardon, OH 44024 | 2014-02-24 |
| 1669815445 | Anthony Peter Mckeen | Family Medicine | 1900 S Union Ave Ste 100, Alliance, OH 44601-4355 | 2013-04-11 |
| 1053661322 | Greene Memorial Hospital Services, Inc. | Family Medicine | 6645 Morris Rd, Hamilton, OH 45011-5417 | 2012-09-14 |
| 1700142734 | Jeffrey Aaron James | Family Medicine | 2350 Miami Valley Dr Ste 320a, Dayton, OH 45459-4778 | 2012-04-04 |
| 1568751790 | Raul A Raudales Jr. | Family Medicine | State Rte 159, Ste G15, Chillicothe, OH 45601 | 2011-03-28 |
| 1255639381 | Ohiohealth Corporation | Family Medicine | 1797 Hill Rd N Ste 100, Pickerington, OH 43147-7998 | 2011-03-15 |
| 1811295900 | Ohiohealth Corporation | Family Medicine | 94 N High St Ste 200, Dublin, OH 43017-1194 | 2011-03-14 |
| Find all providers with the same taxonomy | ||||
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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.