Active NPI
Peyton Care Professionals, LLC
- Family Medicine Physician
- Maumee, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- PEYTON CARE PROFESSIONALS, LLC
- Practice address
- 118 E Indiana Ave
Maumee, OH 43537-2826 - Phone
- (419) 893-9230
- Fax
- (419) 893-6912
- NPI assigned
- Jun 11, 2012
- Last updated
- May 10, 2018
- 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
- Mr. Joseph S. Peyton, D.O.
- Title
- Owner
- Phone
- (419) 893-9230
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
118 E Indiana Ave
Maumee, OH 43537-2826
Mailing address
111 Clinton Street
Maumee, OH 43537
Phone (419) 893-9230
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, MI
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 36D2117554 | Peyton Care Professionals, LLC | Certificate of waiver | Aug 17, 2026 |
National Provider Directory
National Provider DirectoryLocations
730 Kimole Ln
Ste B
Adrian, MI 49221
118 E Indiana Ave
#8202
Maumee, OH 43537
Phone (419) 893-9230
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Toledo, OH
- NPI 1275586059
-
- Family Nurse Practitioner
- Hillsboro, OH
- NPI 1881810489
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339372800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1525910400000",
"number": "1114289626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CLINTON STREET",
"city": "MAUMEE",
"state": "OH",
"postal_code": "43537",
"telephone_number": "419-893-9230",
"fax_number": "419-893-6912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 E INDIANA AVE",
"city": "MAUMEE",
"state": "OH",
"postal_code": "435372826",
"telephone_number": "419-893-9230",
"fax_number": "419-893-6912"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PEYTON CARE PROFESSIONALS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-11",
"last_updated": "2018-05-10",
"status": "A",
"authorized_official_last_name": "PEYTON",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "419-893-9230",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maumee, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.