Provider Demographics
NPI:1568447332
Name:AIAD-TOSS, ALBERT (MD)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:
Last Name:AIAD-TOSS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5700 DARROW RD
Mailing Address - Street 2:SUITE 106
Mailing Address - City:HUDSON
Mailing Address - State:OH
Mailing Address - Zip Code:44236-5021
Mailing Address - Country:US
Mailing Address - Phone:330-656-5911
Mailing Address - Fax:330-656-5901
Practice Address - Street 1:8401 MARKET ST
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44512-6725
Practice Address - Country:US
Practice Address - Phone:330-729-2929
Practice Address - Fax:330-656-5901
Is Sole Proprietor?:No
Enumeration Date:2005-12-14
Last Update Date:2016-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35070964A207P00000X
NC2015-02334207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH001678388-0008OtherPENNSYLVANIA MEDICAID
OH001678388-0009OtherPENNSYLVANIA MEDICAID
OH000000349348OtherANTHEM
OH000000381140OtherANTHEM
OH2027514Medicaid
OH000000385522OtherANTHEM
OHG58284Medicare UPIN
OHAI0832787Medicare PIN
NCNCR873AMedicare PIN
OHP00373024Medicare PIN
OHAI0832786Medicare PIN
OH001678388-0008OtherPENNSYLVANIA MEDICAID
OH2027514Medicaid