Organization Active NPI

A T Tamboli M D Inc

  • Allergy & Immunology Physician
  • Dover, OH
National Provider Identifier
1285780049
Registry record updated Feb 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
35045162 Issued in OH
Legal business name
A T TAMBOLI M D INC
Practice address
899 E Iron Ave Ste D
Dover, OH 44622-2097
Phone
(330) 343-1205
NPI assigned
Jan 26, 2007
Last updated
Feb 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2023

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

Authorized official

Name
Ardeshir TamboliNPI 1548267305
Title
Owner
Phone
(330) 343-1205

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 35045162 OH Primary
Family Medicine Physician 207Q00000X 35063405 OH

Addresses

Primary practice location

899 E Iron Ave Ste D
Dover, OH 44622-2097

Mailing address

PO Box 3058
Wheeling, WV 26003-0223
Phone (330) 343-1205

Other practice location 1

65021 Old Route 21
Cambridge, OH 43725
Phone (740) 439-4622

Other practice location 2

100 Hospital Dr Ste 107
Barnesville, OH 43713-1099
Phone (740) 425-3044

Other practice location 3

270 E State St Ste 140
Alliance, OH 44601-4309
Phone (330) 823-1222

Other practice location 4

227 Canton Rd
Wintersville, OH 43953-3902
Phone (740) 266-2161

Other practice location 5

2814 Pennsylvania Ave
Weirton, WV 26062-3719
Phone (304) 723-1810

Other practice location 6

1830 S Lincoln Ave # A
Salem, OH 44460-4210
Phone (330) 332-0709

Other practice location 7

1523 Walnut St Ste 1
Coshocton, OH 43812-2289
Phone (740) 622-8613

Other practice location 8

134 W 46th St
Ashtabula, OH 44004-6917
Phone (440) 964-2840

Other practice location 9

15613 Pineview Dr Ste B
East Liverpool, OH 43920-9096
Phone (330) 385-5260

Other practice location 10

222 Scio Rd SE
Carrollton, OH 44615-8521
Phone (330) 627-7643

Other identifiers 4

IdentifierTypeStateIssuer
35045162OtherOHDR. ADIE TAMBOLI
35063405OtherOHDR. JASMIN TAMBOLI
0433294MedicaidOH
0895152MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20081021000246 OH Part B Supplier - Clinic/Group Practice 8729146758 Receives reassigned benefits from 1 practitioner
Practice locations: Ashtabula, OH; Wintersville, OH; Salem, OH; East Liverpool, OH; Dover, OH; Carrollton, OH; Coshocton, OH; Alliance, OH…
O20081022000186 WV Part B Supplier - Clinic/Group Practice 8729146758 Receives reassigned benefits from 1 practitioner
Practice locations: Weirton, WV

National Provider Directory

National Provider Directory

Locations

437 E State St
Alliance, OH 44601
Phone (330) 823-1222

134 W 46th St
Ashtabula, OH 44004
Phone (440) 964-2840

222 Scio Rd SE
Carrollton, OH 44615
Phone (330) 627-4446

222 Scio Rd SE
#332
Carrollton, OH 44615

1523 Walnut St
Ste 1
Coshocton, OH 43812
Phone (740) 295-3368

899 E Iron Ave
Ste D
Dover, OH 44622
Phone (330) 343-1205

15613 Pineview Dr
Ste B
East Liverpool, OH 43920
Phone (330) 385-5260

15898 Saint Clair Ave
#2
East Liverpool, OH 43920
Phone (330) 385-5260

1830 S Lincoln Ave
#A
Salem, OH 44460
Phone (330) 332-0709

1830 S Lincoln Ave
Ste A
Salem, OH 44460
Phone (330) 332-0709

227 Canton Rd
Wintersville, OH 43953
Phone (740) 266-2161

2814 Pennsylvania Ave
Weirton, WV 26062
Phone (304) 242-3049

Practitioners & affiliated clinicians

Practitioners 6

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": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676937600000",
    "number": "1285780049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3058",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260030223",
            "telephone_number": "330-343-1205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "899 E IRON AVE STE D",
            "city": "DOVER",
            "state": "OH",
            "postal_code": "446222097",
            "telephone_number": "330-343-1205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65021 Old Route 21",
            "address_purpose": "LOCATION",
            "city": "Cambridge",
            "state": "OH",
            "postal_code": "43725",
            "country_code": "US",
            "telephone_number": "740-439-4622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Hospital Dr Ste 107",
            "address_purpose": "LOCATION",
            "city": "Barnesville",
            "state": "OH",
            "postal_code": "437131099",
            "country_code": "US",
            "telephone_number": "740-425-3044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "270 E State St Ste 140",
            "address_purpose": "LOCATION",
            "city": "Alliance",
            "state": "OH",
            "postal_code": "446014309",
            "country_code": "US",
            "telephone_number": "330-823-1222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "227 Canton Rd",
            "address_purpose": "LOCATION",
            "city": "Wintersville",
            "state": "OH",
            "postal_code": "439533902",
            "country_code": "US",
            "telephone_number": "740-266-2161",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2814 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Weirton",
            "state": "WV",
            "postal_code": "260623719",
            "country_code": "US",
            "telephone_number": "304-723-1810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1830 S Lincoln Ave # A",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OH",
            "postal_code": "444604210",
            "country_code": "US",
            "telephone_number": "330-332-0709",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1523 Walnut St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Coshocton",
            "state": "OH",
            "postal_code": "438122289",
            "country_code": "US",
            "telephone_number": "740-622-8613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "134 W 46th St",
            "address_purpose": "LOCATION",
            "city": "Ashtabula",
            "state": "OH",
            "postal_code": "440046917",
            "country_code": "US",
            "telephone_number": "440-964-2840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15613 Pineview Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "East Liverpool",
            "state": "OH",
            "postal_code": "439209096",
            "country_code": "US",
            "telephone_number": "330-385-5260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 Scio Rd SE",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "OH",
            "postal_code": "446158521",
            "country_code": "US",
            "telephone_number": "330-627-7643",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "A T TAMBOLI M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2023-02-21",
        "certification_date": "2023-02-21",
        "status": "A",
        "authorized_official_last_name": "TAMBOLI",
        "authorized_official_first_name": "ARDESHIR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-343-1205"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "OH",
            "license": "35045162",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35063405",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. ADIE TAMBOLI",
            "identifier": "35045162",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. JASMIN TAMBOLI",
            "identifier": "35063405",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0433294",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0895152",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; 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.