Provider Demographics
NPI:1881718310
Name:RAMON Z. SEVILLA, M.D., INC.
Entity type:Organization
Organization Name:RAMON Z. SEVILLA, M.D., INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMON
Authorized Official - Middle Name:ZIALCITA
Authorized Official - Last Name:SEVILLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-720-7590
Mailing Address - Street 1:2000 REGENCY CT
Mailing Address - Street 2:SUITE 200
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43623-3090
Mailing Address - Country:US
Mailing Address - Phone:419-720-7590
Mailing Address - Fax:419-720-7592
Practice Address - Street 1:2000 REGENCY CT
Practice Address - Street 2:SUITE 200
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-3090
Practice Address - Country:US
Practice Address - Phone:419-720-7590
Practice Address - Fax:419-720-7592
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH038617208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0304414Medicaid
OH0304414Medicaid
OHA75521Medicare UPIN