NPIMap

Organization Active NPI

TGZ Holdings LLC

  • Medical Specialty Clinic/Center
  • Tiffin, OH
National Provider Identifier
1548690217
Registry record updated Nov 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
35.121250 Issued in OH
Legal business name
TGZ HOLDINGS LLC
Practice address
27 St Lawrence Dr
Suite 204
Tiffin, OH 44883-8312
Phone
(419) 455-8570
Fax
(419) 455-8579
NPI assigned
Nov 17, 2013
Last updated
Nov 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2013

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

Authorized official

Name
Dr. Thomas G Zaciewski, MDNPI 1467618447
Title
Owner
Phone
(419) 455-8570

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 35.121250 OH Primary

Addresses

Primary practice location

27 St Lawrence Dr
Suite 204
Tiffin, OH 44883-8312

Mailing address

27 St Lawrence Dr
Suite 204
Tiffin, OH 44883-8312
Phone (419) 455-8570

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1384646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384646400000",
    "number": "1548690217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 ST LAWRENCE DR",
            "address_2": "SUITE 204",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448838312",
            "telephone_number": "419-455-8570",
            "fax_number": "419-455-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 ST LAWRENCE DR",
            "address_2": "SUITE 204",
            "city": "TIFFIN",
            "state": "OH",
            "postal_code": "448838312",
            "telephone_number": "419-455-8570",
            "fax_number": "419-455-8579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TGZ HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-17",
        "last_updated": "2013-11-17",
        "status": "A",
        "authorized_official_last_name": "ZACIEWSKI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-455-8570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "OH",
            "license": "35.121250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tiffin, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2013; 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.