OPTIMUM HEALTH RESTORATION AND ANTI-AGING - TOLEDO, LLC


Address: 4041 Sylvania Avenue, Toledo, OH 43623
Phone: 6145394128

OPTIMUM HEALTH RESTORATION AND ANTI-AGING - TOLEDO, LLC (NPI# 1447756804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1447756804
Entity Type Organization
Organization Name OPTIMUM HEALTH RESTORATION AND ANTI-AGING - TOLEDO, LLC
Practice Address 4041 Sylvania Avenue
Toledo
OH 43623
Mailing Address 3699 Garden Court
Grove City
OH 43123
Practice Telephone 6145394128
Mailing Telephone 6145394128
Mailing Fax Number 8886310223
Enumeration Date 2018-04-04
Last Update Date 2018-04-04
Authorized Official Name DR. ROY C KORTH JR. (SOLE MEMBER)
Authorized Official Telephone 6145394128
Authorized Official Credential DC
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Office Location

Street Address 4041 SYLVANIA AVENUE
City TOLEDO
State OH
Zip Code 43623

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1568062750 Virtual Gender Care Clinic LLC Clinic/Center 5616 Birchdale Dr., Toledo, OH 43623 2020-10-28
1043824410 Paula Milkie Speech-Language Pathologist Westwood Early Childhood Center, 3939 Wrenwood, Toledo, OH 43623 2020-09-03
1528678190 Kori Michelle Pfeiffer Nurse Practitioner 4640 Alexis Road, Toledo, OH 43623 2020-08-07
1124683636 Dana Lynn Oswald Nurse Practitioner The Toledo Clinic Cancer Center, 4126 N. Holland Sylvania Rd. Suite 105, Toledo, OH 43623 2019-05-09
1902382922 Elizabeth Satterthwaite Dietitian, Registered 4345 Secor Rd Ste A, Toledo, OH 43623 2018-07-12
1659897387 Danajo Marie Woods Nurse Practitioner 4235 Secor Rd Bldg 3, Toledo, OH 43623 2017-08-15
1013449784 Bio-medical Applications of Ohio, Inc. Clinic/Center 3546 W. Sylvania Ave, Toledo, OH 43623 2017-03-31
1487101879 Cletus Payne Nurse Practitioner 4405 N. Holland Sylvania Rd., Toledo, OH 43623 2016-09-02
1912451634 Iman Alazzawi Registered Nurse 4615 N Holland Sylvania Rd Apt 40, Toledo, OH 43623 2016-08-10
1629422555 Jacqueline Rome Physical Therapy Assistant 3916 Durham Ct., Toledo, OH 43623 2016-04-18
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861811168 Chs Health Services, Inc General Practice 1250 W Laskey Rd, Toledo, OH 43612-2909 2014-04-15
1366693772 Ryan Oertell Lakin General Practice 241 N Superior St, Suite 301, Toledo, OH 43604-1234 2008-10-03
1659451789 Teresita Palma-gil General Practice 2101 Jefferson Ave, Toledo, OH 43624-1117 2006-10-16
1568843217 Betsy Klinger General Practice 3000 Arlington Ave., Anesthesiology Dept, University of Toledo Medical Ctr, Toledo, OH 43614 2015-06-17
1376930768 Keerat Parmar General Practice 3000 Arlington Ave, Toledo, OH 43614-2595 2015-04-23
1104218601 Ugonna Onyeagoro General Practice 2213 Cherry St, Toledo, OH 43608-2603 2015-02-21
1407113103 William G Goncharow General Practice 2213 Cherry St, Toledo, OH 43608-2603 2012-04-18
1467732214 Unison Behavioral Health Group, Inc. General Practice 1425 Starr Ave, Toledo, OH 43605-2456 2011-08-25
1821393117 Donald G Weathers Md Inc General Practice 3949 Sunforest Ct, Suite 202, Toledo, OH 43623-4454 2011-01-18
1295046753 Ethidocs, LLC General Practice 4841 Monroe St, Suite 350, Toledo, OH 43623-4385 2010-06-29
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Competitor

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City TOLEDO
Zip Code 43623

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Dataset Information

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.

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