MR. MICHAEL ENZERRA (NPI# 1508284993) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508284993 |
| Entity Type | Individual |
| Full Name | MR. MICHAEL ENZERRA |
| Credential | MD |
| Practice Address |
5757 Park Center Ct. Toledo OH 43615 |
| Practice Telephone | 4194744064 |
| Practice Fax Number | 4194722772 |
| Mailing Telephone | 4194744064 |
| Mailing Fax Number | 4194722772 |
| Enumeration Date | 2014-04-02 |
| Last Update Date | 2020-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
71001-20 | WI | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | OH | Student, Health Care |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Akron General Ave, Akron, OH 443072432 | 1330344600 |
| Street Address |
5757 PARK CENTER CT. |
| City | TOLEDO |
| State | OH |
| Zip Code | 43615 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992798029 | Debra S Achinger | Radiology | 5757 Park Center Ct., Toledo, OH 43615 | 2005-08-24 |
| 1174942494 | Zachary S Rost | Radiology | 5757 Park Center Ct., Toledo, OH 43615 | 2014-04-15 |
| 1417185240 | Jacob E Bieszczad | Radiology | 5757 Park Center Ct., Toledo, OH 43615 | 2009-07-01 |
| 1528272119 | Garett A Begeman | Radiology | 5757 Park Center Ct., Toledo, OH 43615 | 2007-05-10 |
| 1275658353 | Michael A Walsh | Radiology | 5757 Park Center Ct., Toledo, OH 43615 | 2007-03-20 |
| 1760568745 | Terrence J Lewis | Radiology | 5757 Park Center Ct., Toledo, OH 43615 | 2006-10-31 |
| 1700961133 | Thomas T Win | Radiology | 5757 Park Center Ct., Toledo, OH 43615 | 2006-10-26 |
| 1790707248 | Stephen A Eldridge | Radiology | 5757 Park Center Ct., Toledo, OH 43615 | 2006-07-24 |
| 1922038504 | Daniel A Dessner | Radiology | 5757 Park Center Ct., Toledo, OH 43615 | 2006-07-03 |
| 1457394884 | Amy P Levine | Radiology | 5757 Park Center Ct., Toledo, OH 43615 | 2006-06-14 |
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| 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 | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396860391 | Matthew Goodman Aagesen | Radiology | 5757 Park Center Ct, Toledo, OH 43615 | 2007-03-20 |
| 1376635524 | Sheila Manion | Radiology | 2658 W Laskey Rd, Second Floor, Toledo, OH 43613-3288 | 2006-09-28 |
| 1770504318 | John Leonard D'souza | Radiology | 3900 Sunforest Ct Ste 136, Toledo, OH 43623-4440 | 2006-07-21 |
| 1750338158 | Daniel O Donkor | Radiology | 2213 Cherry Street, Mrg Associates, LLC, Radiology Dept - Basement Level, Toledo, OH 43608-2603 | 2006-05-30 |
| 1669455689 | Richard Bruce Doerfler | Radiology | 5347 Flanders Rd, Toledo, OH 43623-1029 | 2005-11-23 |
| 1992798029 | Debra S Achinger | Radiology | 5757 Park Center Ct., Toledo, OH 43615 | 2005-08-24 |
| 1699778696 | Gerald Bruce Glassberg | Radiology | 1946 N 13th St, Ste 483, Toledo, OH 43624-1264 | 2005-05-23 |
| 1497287197 | Columbus Radiology Corp | Radiology | 2213 Cherry St, Toledo, OH 43608-2603 | 2017-03-31 |
| 1326428327 | Ahmad Kattan | Radiology | 3000 Arlington Ave, Department of Radiology, Toledo, OH 43614-2595 | 2015-06-04 |
| 1174942494 | Zachary S Rost | Radiology | 5757 Park Center Ct., Toledo, OH 43615 | 2014-04-15 |
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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.