Active NPI
Toby James Tippie, PA-C
- Surgical Physician Assistant
- Lima, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 50.001990
- Practice address
- 801 Medical Dr
Suite a
Lima, OH 45804-4031 - Phone
- (419) 222-6622
- Fax
- (419) 222-4069
- NPI assigned
- Mar 5, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 50.001990 | OH | Primary |
Addresses
Primary practice location
801 Medical Dr
Suite a
Lima, OH 45804-4031
Mailing address
801 Medical Dr
Suite a
Lima, OH 45804-4031
Phone (419) 222-6622
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000635079 | Other | ANTHEM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 Lincoln Hwy
Wapakoneta, OH 45895-9347
Phone (419) 738-3711
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.001990 | OH | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Rehab Consultants PLLC | Current | Accepting new patients | |
| Hles of Ohio Inc | Current | Accepting new patients | |
| Observation Physicians of Northwest Ohio LLC | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
415 W Golf Rd
Ste 26
Arlington Hts, IL 60005
1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919
2535 Fort Amanda Rd
Lima, OH 45804
Phone 4199992010 ext. 01197
8151 Norton Pkwy
Mentor, OH 44060
Phone (440) 299-5500
1010 Lincoln Hwy
Wapakoneta, OH 45895
Phone (419) 738-3711
Interoperability endpoints
- tobytippie@glhs.allscriptsdirect.net
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1710529771
OH
-
- Emergency Medicine Physician
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- NPI 1679806301
-
- Emergency Medicine Physician
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- NPI 1801287511
-
- Emergency Medicine Physician
- Beachwood, OH
- NPI 1467883934
-
- Emergency Medicine Physician
- Chardon, OH
- NPI 1841242997
-
- Family Medicine Physician
- Powell, OH
- NPI 1487601167
-
- Emergency Medicine Physician
- East Liverpool, OH
- NPI 1487380770
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
-
- Emergency Medicine Physician
- Toledo, OH
- NPI 1700462967
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1270425600000",
"number": "1497925499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 MEDICAL DR",
"address_2": "SUITE A",
"city": "LIMA",
"state": "OH",
"postal_code": "458044031",
"telephone_number": "419-222-6622",
"fax_number": "419-222-4069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 MEDICAL DR",
"address_2": "SUITE A",
"city": "LIMA",
"state": "OH",
"postal_code": "458044031",
"telephone_number": "419-222-6622",
"fax_number": "419-222-4069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIPPIE",
"first_name": "TOBY",
"middle_name": "JAMES",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-05",
"last_updated": "2010-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "OH",
"license": "50.001990",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000635079",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lima, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.