Individual provider Active NPI

Eusebio Tan Tochip, MD

  • Pediatrics Physician
  • Milford, OH
National Provider Identifier
1477665685
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35042641T Issued in OH
Practice address
1083-S St RT 28
Milford, OH 45150
Phone
(513) 248-1077
Fax
(513) 248-1077
NPI assigned
Sep 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 35042641T OH Primary

Addresses

Primary practice location

1083-S St RT 28
Milford, OH 45150

Mailing address

1083-S St RT 28
Milford, OH 45150
Phone (513) 248-1077

Other identifiers 1

IdentifierTypeStateIssuer
0392909MedicaidOH

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35042641TOHMDPediatrics Physician

NPI Registry JSON

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

{
    "created_epoch": "1157068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477665685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1083-S ST RT 28",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "45150",
            "telephone_number": "513-248-1077",
            "fax_number": "513-248-1076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1083-S ST RT 28",
            "city": "MILFORD",
            "state": "OH",
            "postal_code": "45150",
            "telephone_number": "513-248-1077",
            "fax_number": "513-248-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOCHIP",
        "first_name": "EUSEBIO",
        "middle_name": "TAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35042641T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0392909",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.