TOLEDO PAIN SERVICES, PLL

Provider Demographics

• NPI: 1356339857
• Name: TOLEDO PAIN SERVICES, PLL
• Entity type: Organization
• Organization Name: TOLEDO PAIN SERVICES, PLL
• Other - Org Name: <UNAVAIL>
• Authorized Official - Title/Position: MEDICAL DIRECTOR
• Authorized Official - First Name: WILLIAM
• Authorized Official - Middle Name: G
• Authorized Official - Last Name: JAMES
• Authorized Official - Suffix: JR
• Authorized Official - Credentials: MD
• Authorized Official - Phone: 419-843-1370
• Mailing Address - Street 1: 3400 MEIJER DR
• Mailing Address - City: TOLEDO
• Mailing Address - State: OH
• Mailing Address - Zip Code: 43617-1166
• Mailing Address - Country: US
• Mailing Address - Phone: 419-843-1370
• Mailing Address - Fax: 419-843-1362
• Practice Address - Street 1: 3400 MEIJER DR
• Practice Address - City: TOLEDO
• Practice Address - State: OH
• Practice Address - Zip Code: 43617-1166
• Practice Address - Country: US
• Practice Address - Phone: 419-843-1370
• Practice Address - Fax: 419-843-1362
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2005-10-10
• Last Update Date: 2013-06-26

Provider Licenses

State	License ID	Taxonomies
OH	35051358	208VP0014X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	208VP0014X	Allopathic & Osteopathic Physicians	Pain Medicine	Interventional Pain Medicine	Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
OH	0954712	Medicaid
MI	1356339857	Medicaid
MI	1497953749	Medicaid
OH	1699750364	Other	NPI JEAN PEYTON
	1306199641	Other	MORROW
OH	2429241	Medicaid
OH	2612793	Medicaid
OH	0703073	Medicaid
	1831110048	Other	FRAME
OH	2495698	Medicaid
OH	2940509	Medicaid
	1487734992	Other	HALLETT
OH	1861481640	Other	NPI -JAMES WEISS
OH	2595446	Medicaid
OH	1346496304	Other	NPI
OH	2741206	Medicaid
OH	H125931	Other	T HALLETT PTAN-MEDICARE
	1811089147	Other	SZYMANSKI
OH	1083834774	Other	NPI-CURRAN
	1811227077	Other	CCHESSER
OH	2568476	Medicaid
OH	0055369	Medicaid
OH	04525	Other	PARAMOUNT
OH	0595628	Medicaid
OH	2518565	Medicaid
OH	3056544	Medicaid
MI	BCBSM-N JENKINS	Other	5580088
OH	2429241	Medicaid
OH	0055369	Medicaid
OH	2495698	Medicaid
OH	NP28441	Medicare PIN
MI	MI4975003	Medicare PIN
MI	MI4975002	Medicare PIN
OH	4176426	Medicare PIN
	1811227077	Other	CCHESSER
OH	0703073	Medicaid
OH	0954712	Medicaid
OH	6208070001	Medicare NSC
MI	MI4975	Medicare PIN
OH	1699750364	Other	NPI JEAN PEYTON
OH	2741206	Medicaid
OH	H197860	Medicare PIN
OH	JA0573825	Medicare PIN
OH	TO9282354	Medicare PIN
OH	H024620	Medicare PIN
OH	TO9282353	Medicare PIN
OH	TO9282351	Medicare PIN