Mercy Health - Tiffin Hospital LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

MERCY HEALTH - TIFFIN HOSPITAL LLC

Practice address

45 St Lawrence Drive
Tiffin, OH 44883-2611

Phone

(419) 455-8505

Fax

(419) 455-8504

NPI assigned

Apr 10, 2008

Last updated

Jan 13, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Daniel Barbee

Title

President

Phone

(419) 307-0158

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mercy Hospital of Tiffin, Ohio Former legal business name

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Mercy Health - Tiffin Hospital LLC

  • Rural Health Clinic/Center
  • New Washington, OH
  • NPI 1053965053

  O20040324001028

  Same enrollment
• Mercy Health - Tiffin Hospital LLC

  • Cardiovascular Disease Physician
  • Tiffin, OH
  • NPI 1215951645

  O20040324001028

  Same enrollment

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

{
    "created_epoch": "1207785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642032000000",
    "number": "1376716357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 636535",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452636535",
            "telephone_number": "419-251-8997",
            "fax_number": "419-251-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 ST LAWRENCE DRIVE",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448832611",
            "telephone_number": "419-455-8505",
            "fax_number": "419-455-8504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH - TIFFIN HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-10",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A",
        "authorized_official_last_name": "BARBEE",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-307-0158"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2692411",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mercy Hospital of Tiffin, Ohio",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Mercy Hospital of Tiffin, Ohio",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Cardiovascular Disease Physician in Tiffin, OH
• Providers in Tiffin, OH by specialty
• Cardiovascular Disease Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.