Individual provider Active NPI

Toby James Tippie, PA-C

  • Surgical Physician Assistant
  • Lima, OH
National Provider Identifier
1497925499
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
50.001990 Issued in OH
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

Updated by the provider on Apr 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
000000635079OtherANTHEM

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091124000161 OH Practitioner - Physician Assistant 5294874665 Reassigns benefits to 6 organizations

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
Comprehensive Rehab Consultants PLLCGroup PAC ID 6800220682, 251 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
50.001990OHMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Rehab Consultants PLLC CurrentSince Sep 24, 2025 Accepting new patients
Hles of Ohio Inc CurrentSince Sep 1, 2020 Accepting new patients
Observation Physicians of Northwest Ohio LLC PastSince Mar 21, 2021 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.