Active NPI
Tiffany E.D. Inglis, M.D.
- Obstetrics & Gynecology Physician
- Pataskala, OH
National Provider Identifier
1104869700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 35.084533
- Practice address
- 1 Healthy PL
Suite 201
Pataskala, OH 43062-7067 - Phone
- (220) 564-1920
- Fax
- (220) 564-1921
- NPI assigned
- Jun 13, 2006
- Sex
- Female
- 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 | 35.084533 | OH | Primary |
Addresses
Primary practice location
1 Healthy PL
Suite 201
Pataskala, OH 43062-7067
Mailing address
1 Healthy PL
Suite 201
Pataskala, OH 43062-7067
Phone (220) 564-1920
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2867223 | Medicaid | OH |
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 |
|---|---|---|---|
| 35.084533 | OH | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Licking Memorial Professional Corp. | 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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1473724800000",
"number": "1104869700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HEALTHY PL",
"address_2": "SUITE 201",
"city": "PATASKALA",
"state": "OH",
"postal_code": "430627067",
"telephone_number": "220-564-1920",
"fax_number": "220-564-1921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HEALTHY PL",
"address_2": "SUITE 201",
"city": "PATASKALA",
"state": "OH",
"postal_code": "430627067",
"telephone_number": "220-564-1920",
"fax_number": "220-564-1921"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGLIS",
"first_name": "TIFFANY",
"middle_name": "E.D.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-13",
"last_updated": "2016-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OH",
"license": "35.084533",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2867223",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pataskala, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.