Provider Demographics
NPI:1255378519
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:
Authorized Official - Last Name:SFERRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-865-9800
Mailing Address - Street 1:2409 CHERRY ST
Mailing Address - Street 2:MOB 303
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43608-2625
Mailing Address - Country:US
Mailing Address - Phone:419-251-4674
Mailing Address - Fax:419-251-3862
Practice Address - Street 1:2409 CHERRY ST
Practice Address - Street 2:MOB 303
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608-2625
Practice Address - Country:US
Practice Address - Phone:419-251-4674
Practice Address - Fax:419-251-3862
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
OH2306507Medicaid
OHCJ9099OtherRR MEDICARE GROUP NUMBER
OH2306507Medicaid