Active NPI
Todd J Hixenbaugh MD LLC
- Surgery Physician
- Lima, OH
National Provider Identifier
1063115913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- TODD J HIXENBAUGH MD LLC
- Practice address
- 658 W Market St Ste 201
Lima, OH 45801-5609 - Phone
- (419) 879-6528
- NPI assigned
- Mar 22, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Todd J Hixenbaugh, MD
- Title
- Owner
- Phone
- (419) 879-6528
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
658 W Market St Ste 201
Lima, OH 45801-5609
Mailing address
658 W Market St Ste 201
Lima, OH 45801-5609
Phone (419) 879-6528
Other practice location 1
2790 Shagbark Dr
Lima, OH 45806-1636
Phone (419) 303-6528
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Lima, OH
- NPI 1730136839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679443200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1679443200000",
"number": "1063115913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "658 W MARKET ST STE 201",
"city": "LIMA",
"state": "OH",
"postal_code": "458015609",
"telephone_number": "419-879-6528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "658 W MARKET ST STE 201",
"city": "LIMA",
"state": "OH",
"postal_code": "458015609",
"telephone_number": "419-879-6528"
}
],
"practiceLocations": [
{
"address_1": "2790 Shagbark Dr",
"address_purpose": "LOCATION",
"city": "Lima",
"state": "OH",
"postal_code": "458061636",
"country_code": "US",
"telephone_number": "419-303-6528",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "TODD J HIXENBAUGH MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-03-22",
"last_updated": "2023-03-22",
"certification_date": "2023-03-22",
"status": "A",
"authorized_official_last_name": "HIXENBAUGH",
"authorized_official_first_name": "TODD",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "419-879-6528",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.