Organization
TOLEDO JOINT REPLACEMENT AND ORTHOPAEDIC CENTER
Active
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
Update your record
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