SYLVAN OAK FAMILY PHYSICIANS LLC
NPI 1104971290
Family Medicine in Toledo, OH

Active since January 25, 2007CLIA 36D0948463 · Microscopy
6800 W CENTRAL AVE, UNIT K, TOLEDO, OH 43617(417) 841-1510(419) 841-1513 Get Directions Write a Review

NPPES record last updated: February 6, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sylvan Oak Family Physicians Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SYLVAN OAK FAMILY PHYSICIANS LLC (NPI 1104971290) is a healthcare organization registered as a family medicine in Toledo, Ohio and active in the NPI registry since January 2007. The organization holds a CLIA Microscopy certificate valid through July 9, 2028 and lists Mark A Wentz, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1104971290
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSYLVAN OAK FAMILY PHYSICIANS LLC
Location Address6800 W CENTRAL AVE, UNIT KToledo, OH 43617-1135
Mailing Address6800 W Central Ave, Unit KToledo, OH 43617-1135 · (417) 841-1510 · Fax (419) 841-1513
Fax(419) 841-1513
Organization SubpartNo
Authorized OfficialMark A WentzManaging Partner · (419) 841-1510
Enumeration DateJanuary 25, 2007
Last NPPES UpdateFebruary 6, 2009
NPI 1104971290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
6800 W CENTRAL AVE, Toledo, OH 43617

Other Identifiers 5

Other=========-00OH · Bwc
Other000000343375OH · Anthem
OtherDC0339OH · Railroad Medicare
Medicare PIN9346491OH
Medicaid2595302OH

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 36D0948463

Sylvan Oak Family Physicians Drs D Fairchild, C Ellis, L Graves-Austin And S Hasan · Toledo, OH
Active · expires Jul 9, 2028
CLIA Number36D0948463
Laboratory TypePhysician Office
Certificate Effective DateJuly 10, 2026
Certificate Expiration DateJuly 9, 2028
Laboratory DirectorDarlene S. Fairchild
Laboratory Phone(419) 841-1510
Laboratory LocationSylvan Oak Family Physicians Drs D Fairchild, C Ellis, L Graves-Austin And S Hasan6800 W Central Avenue Unit K, Toledo, OH 43617
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
6800 W CENTRAL AVE, D-3
TOLEDO, OH 43617
Counselor (Addiction (Substance Use Disorder))
6800 W CENTRAL AVE, STE B
TOLEDO, OH 43617
Family Medicine
6800 W CENTRAL AVE, UNIT K
TOLEDO, OH 43617
Family Medicine
6800 W CENTRAL AVE, UNIT K
TOLEDO, OH 43617
Psychiatry & Neurology (Psychiatry)
6800 W CENTRAL AVE, SUITE D-3
TOLEDO, OH 43617
Psychologist (Counseling)
6800 W CENTRAL AVE, #D-2
TOLEDO, OH 43617
Dentist (General Practice)
6800 W CENTRAL AVE, SUITE A - 1
TOLEDO, OH 43617
Family Medicine
6800 W CENTRAL AVE, UNIT K
TOLEDO, OH 43617

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sylvan Oak Family Physicians LLC's NPI number?

The NPI number for Sylvan Oak Family Physicians LLC is 1104971290. It was assigned to this organization in the NPPES registry on January 25, 2007.

Where is Sylvan Oak Family Physicians LLC located?

Sylvan Oak Family Physicians LLC is located at 6800 W Central Ave Unit K, Toledo, OH 43617. The listed phone number is (417) 841-1510.

What is Sylvan Oak Family Physicians LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Sylvan Oak Family Physicians LLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 36D0948463) is associated with this NPI, valid through July 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Sylvan Oak Family Physicians LLC was last updated on February 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.