Active NPI
Paul V Delamater, MD
- Pediatric Endocrinology Physician
- Toledo, OH
National Provider Identifier
1104823210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Endocrinology Physician
- License
- 35031765
- Practice address
- 2100 W Central Ave
Toledo, OH 43606-3834 - Phone
- (419) 537-5111
- Fax
- (419) 537-5131
- NPI assigned
- Jul 5, 2005
- 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 |
|---|---|---|---|---|
| Pediatric Endocrinology Physician | 2080P0205X | 35031765 | OH | Primary |
Addresses
Primary practice location
2100 W Central Ave
Toledo, OH 43606-3834
Mailing address
2100 W Central Ave
Suite 100
Toledo, OH 43606-3834
Phone (419) 537-5111
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0252926 | Medicaid | OH | |
| 4044692 | Other | OH | AETNA |
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 |
|---|---|---|---|
| 35031765 | OH | MD | Pediatric Endocrinology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Promedica Children'S Specialists | Pediatric Endocrinology | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Pediatrics Physician
- Toledo, OH
- NPI 1245444959
Pediatric Endocrinology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393200000000",
"number": "1104823210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 W CENTRAL AVE",
"address_2": "SUITE 100",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063834",
"telephone_number": "419-537-5111",
"fax_number": "419-537-5131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 W CENTRAL AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063834",
"telephone_number": "419-537-5111",
"fax_number": "419-537-5131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELAMATER",
"first_name": "PAUL",
"middle_name": "V",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-05",
"last_updated": "2014-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0205X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Endocrinology",
"state": "OH",
"license": "35031765",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0252926",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4044692",
"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 Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.