Active NPI
Lorraine M Fay, MD
- Pediatrics Physician
- Toledo, OH
National Provider Identifier
1114926045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35049099
- Practice address
- 6629 W Central Ave
Toledo, OH 43617-1098 - Phone
- (419) 517-1758
- Fax
- (419) 517-1399
- NPI assigned
- Jul 21, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35049099 | OH | Primary |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | 35.049099 | OH |
Addresses
Primary practice location
6629 W Central Ave
Toledo, OH 43617-1098
Mailing address
P.O. Box 8970
4334 Secor Road
Toledo, OH 43623-0970
Phone (419) 475-4449
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12-02007 | Other | OH | UHC |
| 370020641 | Other | OH | RRMC |
| 4244898 | Other | OH | AETNA |
| 00415 | Other | OH | PARAMOUNT |
| 0516758 | Medicaid | OH | |
| 000000354761 | Other | OH | ANTHEM |
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 |
|---|---|---|---|
| 35049099 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Promedica Central Physicians | 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
-
- Durable Medical Equipment & Medical Supplies
- Toledo, OH
- NPI 1669068482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1392940800000",
"number": "1114926045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 8970",
"address_2": "4334 SECOR ROAD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436230970",
"telephone_number": "419-475-4449",
"fax_number": "419-517-1399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6629 W CENTRAL AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436171098",
"telephone_number": "419-517-1758",
"fax_number": "419-517-1399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAY",
"first_name": "LORRAINE",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-21",
"last_updated": "2014-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35049099",
"primary": true
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "OH",
"license": "35.049099",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "12-02007",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRMC",
"identifier": "370020641",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4244898",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT",
"identifier": "00415",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0516758",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000354761",
"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 21, 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.