Provider Demographics
NPI:1679661466
Name:TOLEDO PULMONARY AND SLEEP SPECIALISTS, INC.
Entity Type:Organization
Organization Name:TOLEDO PULMONARY AND SLEEP SPECIALISTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:FRANK
Authorized Official - Middle Name:O
Authorized Official - Last Name:HORTON
Authorized Official - Suffix:III
Authorized Official - Credentials:MD
Authorized Official - Phone:419-479-2676
Mailing Address - Street 1:2109 HUGHES DR
Mailing Address - Street 2:STE 760
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43606-3856
Mailing Address - Country:US
Mailing Address - Phone:419-479-2676
Mailing Address - Fax:419-479-6101
Practice Address - Street 1:2109 HUGHES DR
Practice Address - Street 2:STE 760
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43606-3856
Practice Address - Country:US
Practice Address - Phone:419-479-2676
Practice Address - Fax:419-479-6101
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-10
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI290D610410OtherBCBSM
OH0782023Medicaid
MI290D610410OtherBCBSM
MI290D610410OtherBCBSM
OH9931284Medicare PIN
OHC0017Medicare ID - Type UnspecifiedRAILROAD MEDICARE
MI0N43040Medicare ID - Type UnspecifiedMICHIGAN MEDICARE
OH0782023Medicaid