Active NPI
Lance A Talmage, M.D.
- Obstetrics & Gynecology Physician
- Toledo, OH
National Provider Identifier
1093711723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 35027676
- Practice address
- 2150 W Central Ave
Toledo, OH 43606-3846 - Phone
- (419) 291-2200
- Fax
- (419) 479-3297
- NPI assigned
- Jun 27, 2005
- Last updated
- Apr 15, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 35027676 | OH | Primary |
Addresses
Primary practice location
2150 W Central Ave
Toledo, OH 43606-3846
Mailing address
2150 W Central Ave
Toledo, OH 43606-3846
Phone (419) 291-2200
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4118789 | Medicaid | MI | |
| 142085 | Other | OH | CARE CHOICE |
| 000000064947 | Other | OH | ANTHEM COMMERICAL |
| 0246559 | Medicaid | OH | |
| 4101220 | Other | OH | AETNA |
| 6805 | Other | MI | HPM |
| 000000064947 | Other | OH | ANTHEM MEDICAID |
| 344428256097 | Other | OH | CARESOURCES |
| 00099 | Other | OH | PARAMOUNT |
| OC07143 | Other | OH | NATIONWIDE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 35027676 | OH | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Haematology-Oncology Associates of Ohio and Michigan PC | Current | Accepting new patients | |
| Consultants in Laboratory Medicine of Greater Toledo | Current | Accepting new patients |
Locations
5200 Harroun Rd
Sylvania, OH 43560
Phone (419) 824-1305
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anatomic Pathology & Clinical Pathology Physician
- Toledo, OH
- NPI 1982673372
-
- Hematology & Oncology Physician
- Lambertville, MI
- NPI 1841296605
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208217600000",
"number": "1093711723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2150 W CENTRAL AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063846",
"telephone_number": "419-291-2200",
"fax_number": "419-479-3297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2150 W CENTRAL AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063846",
"telephone_number": "419-291-2200",
"fax_number": "419-479-3297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TALMAGE",
"first_name": "LANCE",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-27",
"last_updated": "2008-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "35027676",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4118789",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE CHOICE",
"identifier": "142085",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM COMMERICAL",
"identifier": "000000064947",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0246559",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4101220",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPM",
"identifier": "6805",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM MEDICAID",
"identifier": "000000064947",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCES",
"identifier": "344428256097",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT",
"identifier": "00099",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONWIDE",
"identifier": "OC07143",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.