Organization Active NPI

GLT Medical Services LTD

  • General Practice Physician
  • Maumee, OH
National Provider Identifier
1194708461
Registry record updated Dec 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
34004485 Issued in OH
Legal business name
GLT MEDICAL SERVICES LTD
Practice address
111 Clinton St
Maumee, OH 43537-2811
Phone
(419) 893-0485
Fax
(419) 893-1255
NPI assigned
Nov 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Joseph Stanley Peyton, D.O.NPI 1538145925
Title
Managing Member
Phone
(419) 893-0485

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)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X 34004485 OH Primary

Addresses

Primary practice location

111 Clinton St
Maumee, OH 43537-2811

Mailing address

111 Clinton St
Maumee, OH 43537-2811
Phone (419) 893-0485

Other identifiers 1

IdentifierTypeStateIssuer
2128754MedicaidOH

Other names 1

  • Geriatric and Long Term Care Specialists Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260230400000",
    "number": "1194708461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 CLINTON ST",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435372811",
            "telephone_number": "419-893-0485",
            "fax_number": "419-893-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 CLINTON ST",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435372811",
            "telephone_number": "419-893-0485",
            "fax_number": "419-893-1255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLT MEDICAL SERVICES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2009-12-08",
        "status": "A",
        "authorized_official_last_name": "PEYTON",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "STANLEY",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "419-893-0485",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "OH",
            "license": "34004485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2128754",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Geriatric and Long Term Care Specialists",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Dec 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.