Organization
TOLEDO JOINT REPLACEMENT AND ORTHOPAEDIC CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT W. SIVERHUS M.D. (PRESIDENT OWNER)
(419) 843-5633
Entity
Organization
Contact information
Practice address
4126 N HOLLAND SYLVANIA RD, SUITE 100, TOLEDO, OH 43623-3536
(419) 843-5633
(419) 843-5670
Mailing address
4126 N HOLLAND SYLVANIA RD, SUITE 100, TOLEDO, OH 43623-3536
(419) 843-5633
(419) 843-5670
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
35-055589
OH
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
35-055589
OH
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1187660001
DMERC
OH
01
—
CF8096
RAILROAD MEDICARE
OH
Enumeration date
11/17/2005
Last updated
04/20/2008
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