Organization Active NPI

Theodore J Togliatti & Co Inc

  • Interventional Pain Medicine Physician
  • Mansfield, OH
National Provider Identifier
1275838500
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
35085417 Issued in OH
Legal business name
THEODORE J TOGLIATTI & CO INC
Practice address
339 Cline Ave
Mansfield, OH 44907-1072
Phone
(419) 589-8819
Fax
(419) 589-8892
NPI assigned
Jan 18, 2011
Last updated
Mar 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Dr. Theodore J Togliatti, M.D.NPI 1275755993
Title
Owner
Phone
(419) 589-8819

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
Interventional Pain Medicine Physician 208VP0014X 35085417 OH Primary

Addresses

Primary practice location

339 Cline Ave
Mansfield, OH 44907-1072

Mailing address

339 Cline Ave
Mansfield, OH 44907-1072
Phone (419) 589-8819

Other identifiers 1

IdentifierTypeStateIssuer
3130605MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110316000403 OH Part B Supplier - Clinic/Group Practice 2466634167 Receives reassigned benefits from 1 practitioner
Practice locations: Mansfield, OH

National Provider Directory

National Provider Directory

Locations

339 Cline Ave
Mansfield, OH 44907
Phone (419) 589-8819

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1295308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1275838500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "339 CLINE AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071072",
            "telephone_number": "419-589-8819",
            "fax_number": "419-589-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 CLINE AVE",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071072",
            "telephone_number": "419-589-8819",
            "fax_number": "419-589-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEODORE J TOGLIATTI & CO INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-18",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "TOGLIATTI",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-589-8819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "OH",
            "license": "35085417",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3130605",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mansfield, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.