Provider Demographics
NPI:1043257397
Name:TOLEDO SURGICAL SPECIALISTS, INC
Entity type:Organization
Organization Name:TOLEDO SURGICAL SPECIALISTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:J
Authorized Official - Last Name:SFERRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-865-9800
Mailing Address - Street 1:3909 WOODLEY RD
Mailing Address - Street 2:SUITE 800
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-1169
Mailing Address - Country:US
Mailing Address - Phone:419-291-2241
Mailing Address - Fax:419-291-2242
Practice Address - Street 1:3909 WOODLEY RD
Practice Address - Street 2:SUITE 800
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-1169
Practice Address - Country:US
Practice Address - Phone:419-291-2241
Practice Address - Fax:419-291-2242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-02
Last Update Date:2008-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2306525Medicaid
OHCJ8848OtherRR MEDICARE GROUP NUMBER
OHCJ8848OtherRR MEDICARE GROUP NUMBER