REYNOLDS ROAD SURGICAL CENTER LTD (NPI# 1447212535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447212535 |
| Entity Type | Organization |
| Organization Name | REYNOLDS ROAD SURGICAL CENTER LTD |
| Other Organization Name | WILDWOOD SURGICAL CENTER |
| Practice Address |
2865 N Reynolds Rd Suite 190 Toledo OH 43615-2068 |
| Practice Telephone | 4195787500 |
| Practice Fax Number | 4195396320 |
| Mailing Telephone | 4195787500 |
| Mailing Fax Number | 4195396320 |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2014-04-22 |
| Authorized Official Name | KELLY G SHIRER (MANAGER OF FINANCE) |
| Authorized Official Telephone | 4195787500 |
| Authorized Official Credential | CASC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0437AS | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | PARAMOUNT HEALTHCARE | 03422 | 01 |
| BCBS | 000000156919 | 01 | |
| OH | 2059669 | 05 |
| Other Name | Type Code |
|---|---|
| Wildwood Surgical Center | Doing Business As Name - Organization |
| Street Address |
2865 N REYNOLDS RD SUITE 190 |
| City | TOLEDO |
| State | OH |
| Zip Code | 43615-2068 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982606109 | Philip T Nelsen | Ophthalmology | 2865 N Reynolds Rd, Suite 230, Toledo, OH 43615-2068 | 2005-06-01 |
| 1679005623 | Alyssa Horne | Family Medicine | 2865 N Reynolds Rd, Toledo, OH 43615-2068 | 2017-03-29 |
| 1467999078 | Joseph Scherger | Physician Assistant | 2865 N Reynolds Rd, Suite A, Toledo, OH 43615-2068 | 2017-01-21 |
| 1366824757 | Jill Anne Kunisch | Nurse Practitioner | 2865 N Reynolds Rd, Suite 160, Toledo, OH 43615-2068 | 2015-06-23 |
| 1134545437 | Bridget Jurkiewicz | Physician Assistant | 2865 N Reynolds Rd, Bldg A, Toledo, OH 43615-2068 | 2014-03-11 |
| 1518390590 | Paige Lichtenberg | Occupational Therapist | 2865 N Reynolds Rd, Bldg A, Toledo, OH 43615-2068 | 2013-08-14 |
| 1962777326 | Jeanne-marie Sinnott | Family Medicine | 2865 N Reynolds Rd, Suite 140, Toledo, OH 43615-2068 | 2012-03-19 |
| 1063793917 | Promedica Central Physicians, LLC | Orthopaedic Surgery | 2865 N Reynolds Rd, Suite 160, Toledo, OH 43615-2068 | 2011-09-06 |
| 1255612107 | Promedica Central Physicians, LLC | Family Medicine | 2865 N Reynolds Rd, Suite 260, Toledo, OH 43615-2068 | 2011-09-06 |
| 1780973180 | Kevin Robert Dankert | Physical Medicine & Rehabilitation | 2865 N Reynolds Rd, Toledo, OH 43615-2068 | 2011-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518507219 | Malcolm Banks | Case Manager/Care Coordinator | 5301 Nebraska Ave., New Concepts, Toledo, OH 43615 | 2020-01-10 |
| 1730670076 | Ericka Catchings | Counselor | 1124 Wenz Rd, Toledo, OH 43615 | 2018-05-22 |
| 1124516174 | Ashton Kovic | Case Manager/Care Coordinator | 9715 Dorr St., Toledo, OH 43615 | 2018-04-25 |
| 1154863777 | Sheron Jenece Garmon | Occupational Therapist | 5963 Luddington Dr, Toledo, OH 43615 | 2016-11-14 |
| 1558813394 | Alexander Jacoby | Specialist/Technologist | 1001 N Warpole St, Toledo, OH 43615 | 2016-10-27 |
| 1790233674 | Donalisa June Mcnichols | Counselor | 115 S. Reynolds Rd., Toledo, OH 43615 | 2016-09-20 |
| 1790130326 | Eagle Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 3409 Holland Sylvania Rd #3, Toledo, OH 43615 | 2016-05-02 |
| 1073972519 | Rhonda Stanley | Registered Nurse | 115 S Reynolds Rd Ste C, Toledo, OH 43615 | 2016-02-12 |
| 1043635626 | Ciera Larae Wilcox | Home Health Aide | 360. S Reynolds Rd, Toledo, OH 43615 | 2014-02-19 |
| 1336560317 | Ariel Monique Greenleaf | Registered Nurse | 4661 Ventura Dr, Toledo, OH 43615 | 2013-12-18 |
| Find all providers in zip 43615 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326538703 | Toledo Clinic Incorporated | Clinic/Center | 3330 Meijer Drive, Ste 2, Toledo, OH 43617 | 2018-05-11 |
| 1346751070 | Toledo Vascular Access Asc LLC | Clinic/Center | 3439 Granite Cir Ste 200, Toledo, OH 43617-1161 | 2017-10-20 |
| 1881936151 | Nwo Surgical Services, LLC | Clinic/Center | 3550 Executive Pkwy Ste 7-261, Toledo, OH 43606-1379 | 2013-03-25 |
| 1184871519 | Artisan Surgery Center | Clinic/Center | 7634 W. Central Ave, Toledo, OH 43617 | 2008-08-27 |
| 1649310392 | Outpatient Surgi-unit, Inc. | Clinic/Center | 2121 Hughes Dr Ste 920, Toledo, OH 43606-5140 | 2007-02-08 |
| 1487702650 | Women Pavillion | Clinic/Center | 328 22nd St, Toledo, OH 43624-1002 | 2007-01-06 |
| 1811951452 | Toledo Community Lithotripter Corp. | Clinic/Center | 3158 W Central Ave, Toledo, OH 43606-2920 | 2006-04-12 |
| 1871574145 | Surgery Center At Regency Park, LLC | Clinic/Center | 2000 Regency Ct Ste 101, Toledo, OH 43623-3075 | 2005-11-14 |
| 1538157037 | West Central Surgical Center, LLC | Clinic/Center | 7055 W Central Ave, Toledo, OH 43617 | 2005-10-10 |
| 1053706903 | Mercy Health - St. Anne Hospital, LLC | Clinic/Center | 2000 Regency Ct, Suite 101, Toledo, OH 43623-3090 | 2015-03-30 |
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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.