TOLEDO VASCULAR ACCESS CENTER LLC (NPI# 1538514674) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538514674 |
| Entity Type | Organization |
| Organization Name | TOLEDO VASCULAR ACCESS CENTER LLC |
| Other Organization Name | TOLEDO VASCULAR CENTER |
| Practice Address |
3439 Granite Cir Suite 200 Toledo OH 43617-1161 |
| Mailing Address |
3 W Hawthorn Pkwy Suite 410 Vernon Hills IL 60061-1446 |
| Practice Telephone | 5672256656 |
| Practice Fax Number | 8479493880 |
| Mailing Telephone | 8473882079 |
| Mailing Fax Number | 8479493880 |
| Enumeration Date | 2016-04-26 |
| Last Update Date | 2016-04-26 |
| Authorized Official Name | DR. SHAUKAT RASHID (DIRECTOR) |
| Authorized Official Telephone | 5672256656 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
| N | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians | ||
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Toledo Vascular Center | Doing Business As Name - Organization |
| Street Address |
3439 GRANITE CIR SUITE 200 |
| City | TOLEDO |
| State | OH |
| Zip Code | 43617-1161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407843758 | Mark D Gretsinger | Internal Medicine | 3439 Granite Cir, Toledo, OH 43617-1161 | 2005-10-03 |
| 1265792477 | Tasha M Kim | Physician Assistant | 3439 Granite Cir, Toledo, OH 43617-1161 | 2012-05-22 |
| 1578846622 | Promedica Gi Physicians, LLC | Clinic/Center | 3439 Granite Cir, Toledo, OH 43617-1161 | 2011-09-26 |
| 1871822437 | Gail B Wood | Nurse Practitioner | 3439 Granite Cir, Toledo, OH 43617-1161 | 2009-12-10 |
| 1275768749 | Ahmad Malas | Internal Medicine | 3439 Granite Cir, Toledo, OH 43617-1161 | 2009-05-27 |
| 1710088471 | Muhannad Heif | Internal Medicine | 3439 Granite Cir, Toledo, OH 43617-1161 | 2006-09-26 |
| 1154318293 | Endoscopy Center Inc | Clinic/Center | 3439 Granite Cir, Toledo, OH 43617-1161 | 2005-10-04 |
| 1275520306 | Digestive Healthcare Consultants of Nw Ohio | Internal Medicine | 3439 Granite Cir, Toledo, OH 43617-1161 | 2005-10-04 |
| 1356338487 | Kevin K Koffel | Internal Medicine | 3439 Granite Cir, Toledo, OH 43617-1161 | 2005-10-04 |
| 1235126368 | Gregory R Slee | Internal Medicine | 3439 Granite Cir, Toledo, OH 43617-1161 | 2005-10-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013541838 | Barbara Futrell | Licensed Practical Nurse | 6629 Central Avenaue, Toledo, OH 43617 | 2020-03-02 |
| 1366917569 | Melissa Malinowski | Counselor | 7540 New West Road, Toledo, OH 43617 | 2018-10-04 |
| 1144716226 | Jessica Torres-garcia | Counselor | 7410 Port Sylvania Dr., Toledo, OH 43617 | 2018-07-02 |
| 1326538703 | Toledo Clinic Incorporated | Clinic/Center | 3330 Meijer Drive, Ste 2, Toledo, OH 43617 | 2018-05-11 |
| 1629570411 | Amy Marie Burgess | Case Manager/Care Coordinator | 6055 W. Central Ave., Toledo, OH 43617 | 2018-03-07 |
| 1760984231 | Stacey Lynn Mclaughlin | Counselor | 6629 Central Avenue, Toledo, OH 43617 | 2018-03-01 |
| 1801396601 | Anne Grady Coporation | Intermediate Care Facility, Mentally Retarded | 3216 Zone Avenue, Toledo, OH 43617 | 2018-02-19 |
| 1982111084 | Synergy Primary Care and Wellness LLC | Internal Medicine | 3230 Central Park W Ste 112, Toledo, OH 43617 | 2018-01-10 |
| 1316483381 | Amy R Mossing | Registered Nurse | 2770 Centennial Rd Bldg 7, Toledo, OH 43617 | 2017-01-13 |
| 1841674736 | Res-care Ohio, Inc. | Intermediate Care Facility, Mentally Retarded | 2550 King Road, Toledo, OH 43617 | 2015-07-10 |
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| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| 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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538159983 | Bernardo D Martinez | Surgery | 5122 Heatherdowns Blvd, Suite 105, Toledo, OH 43614-2182 | 2005-10-26 |
| 1831724897 | Kholoud K. Amrou | Surgery | 2222 Cherry St, Mob 2, Ste 1250, Toledo, OH 43608 | 2020-03-10 |
| 1013398676 | Bernardo D. Martinez Md Facs Inc | Surgery | 5122 Heatherdowns Blvd, Ste. 105, Toledo, OH 43614-2182 | 2015-06-09 |
| 1720324098 | Nikolaos Tsekouras | Surgery | 2109 Hughes Dr, Suite 400, Toledo, OH 43606-3856 | 2012-12-14 |
| 1538405808 | Hussein Barayan | Surgery | 2109 Hughes Dr, Suite 400, Toledo, OH 43606-3856 | 2012-12-14 |
| 1275811200 | Ayman Eltayeb Elhag Ahmed | Surgery | 3000 Arlington Ave, Toledo, OH 43614 | 2011-07-25 |
| 1679861975 | Sophia Afridi | Surgery | 2109 Hughes Dr, # 450, Toledo, OH 43606-3856 | 2011-07-20 |
| 1689998551 | Mohamed F Osman | Surgery | 3000 Arlington Ave, Toledo, OH 43614 | 2010-03-22 |
| 1356675656 | Mohammed Junaid Akbani | Surgery | 2222 Cherry St Ste 1250, Toledo, OH 43608-2687 | 2009-09-21 |
| 1598925067 | Babatunde Ayokunle Oriowo | Surgery | 2109 Hughes Dr, # 450, Toledo, OH 43606-3856 | 2008-06-09 |
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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.