Individual provider Active NPI

Robert A Cecchino, M.D.

  • Surgery Physician
  • Tiffin, OH
National Provider Identifier
1013945443
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
35036074C Issued in OH
Practice address
27 St Lawrence Dr
Suite 203
Tiffin, OH 44883-8312
Phone
(419) 455-8560
Fax
(419) 455-8564
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 35036074C OH Primary

Addresses

Primary practice location

27 St Lawrence Dr
Suite 203
Tiffin, OH 44883-8312

Mailing address

27 St Lawrence Dr
Suite 203
Tiffin, OH 44883-8312
Phone (419) 455-8560

Other identifiers 4

IdentifierTypeStateIssuer
000000341388OtherANTHEM
200339770MedicaidIN
000000341388OtherOHANTHEM
0390063MedicaidOH

Other names 1

  • Dr. Robert Andrew Cecchino Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35036074COHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health - Tiffin Hospital LLC Surgery Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313020800000",
    "number": "1013945443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 ST LAWRENCE DR",
            "address_2": "SUITE 203",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448838312",
            "telephone_number": "419-455-8560",
            "fax_number": "419-455-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 ST LAWRENCE DR",
            "address_2": "SUITE 203",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448838312",
            "telephone_number": "419-455-8560",
            "fax_number": "419-455-8564"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CECCHINO",
        "first_name": "ROBERT",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2011-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35036074C",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000341388",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200339770",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000341388",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0390063",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBERT",
            "last_name": "CECCHINO",
            "middle_name": "ANDREW",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Tiffin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.