npidata.org Sign in
Products
Provider RadarWatch an area and specialty — weekly alerts on new cliniciansPractice RadarWeekly alerts when new organisations register nearbySpecialtiesEvery NUCC taxonomy, with counts by state and cityStatesProvider counts and breakdowns for all 50 statesPhysician listsMDs and DOs with addresses and phone numbersNP listsNurse practitioners, the fastest-growing groupAPIJSON, delta feed, free tier
Use cases
Healthcare sales prospectingPhysician recruiting and locum staffingMedical device sales territory planningCredentialing and provider verificationHealthcare marketing lists and audience buildingPharmaceutical sales and prescriber targeting
Account
Start freeThree radars and an export a month Sign in Pricing
Explore
Data Labs API
About
About usTermsPrivacyContact us

Search › Ohio › 171100000X

Moon Park, LAC

NPI 1235747957 · on the registry since 2020 · sole proprietor

Practice

Address
1200 S Detroit Ave
Toledo, OH 43614
Phone
(419) 213-7553
Organisation at this address
Ann Arbor Vamc
Ann Arbor Vamc
Ann Arbor Va Medical Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
61

Additional practice sites

  • 11269 Old Frederick Rd, Marriottsville, MD
  • 2215 Fuller Rd, Ann Arbor, MI

Registry record

Primary taxonomy
171100000X
171100000X
Sex
Male
Record last updated
2026-03-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio