Provider Demographics
NPI:1154592400
Name:NEIL SAUNDERS DPM
Entity type:Organization
Organization Name:NEIL SAUNDERS DPM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NEIL
Authorized Official - Middle Name:E
Authorized Official - Last Name:SAUNDERS
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:419-474-3338
Mailing Address - Street 1:3030 W SYLVANIA AVE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43613-4100
Mailing Address - Country:US
Mailing Address - Phone:419-474-3338
Mailing Address - Fax:419-474-5193
Practice Address - Street 1:4411 N HOLLAND SYLVANIA RD
Practice Address - Street 2:SUITE 201
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43623-3525
Practice Address - Country:US
Practice Address - Phone:419-517-1366
Practice Address - Fax:419-474-5193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-14
Last Update Date:2008-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH36.002506213ES0103X, 332BC3200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
No332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized EquipmentGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2521640005Medicare NSC