1609877695 NPI number — CARDIOLOGY NETWORK OF GREATER TOLEDO, INC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1609877695 NPI number — CARDIOLOGY NETWORK OF GREATER TOLEDO, INC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
CARDIOLOGY NETWORK OF GREATER TOLEDO, INC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1609877695
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/21/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 49
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PITTSBURGH
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15230-0049
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
412-937-5949
Provider Business Mailing Address Fax Number:
412-937-5705

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2600 NAVARRE AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
OREGON
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43616-3207
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
419-691-9204
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/02/2005

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
ABBATI
Authorized Official First Name:
FRANK
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
419-691-9204

Provider Taxonomy Codes

  • Taxonomy code: 207RC0000X , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)