Provider Demographics
NPI:1609969401
Name:NORTHWEST OHIO NEONATAL ASSOCIATES, INC.
Entity Type:Organization
Organization Name:NORTHWEST OHIO NEONATAL ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHAPPELL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-291-2237
Mailing Address - Street 1:2142 N COVE BLVD
Mailing Address - Street 2:3RD FLOOR MAIN HOSPITAL
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-3895
Mailing Address - Country:US
Mailing Address - Phone:419-291-4225
Mailing Address - Fax:419-479-6193
Practice Address - Street 1:2142 N COVE BLVD
Practice Address - Street 2:3RD FLOOR MAIN HOSPITAL
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-3895
Practice Address - Country:US
Practice Address - Phone:419-291-4225
Practice Address - Fax:419-479-6193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2010-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000164890OtherANTHEM BLUE CROSS
OH10256OtherPARAMOUNT
OH0434720Medicaid