Provider Demographics
NPI:1104262906
Name:VISITING MEDICAL SPECIALISTS OF OHIO INC
Entity type:Organization
Organization Name:VISITING MEDICAL SPECIALISTS OF OHIO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SVETLANA
Authorized Official - Middle Name:
Authorized Official - Last Name:STAHL
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:419-699-1907
Mailing Address - Street 1:2230 W LASKEY RD
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43613-3543
Mailing Address - Country:US
Mailing Address - Phone:419-517-8858
Mailing Address - Fax:
Practice Address - Street 1:2230 W LASKEY RD
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43613-3543
Practice Address - Country:US
Practice Address - Phone:419-517-8858
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-20
Last Update Date:2024-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207Q00000X
OH35.121135207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty