NPIMap

Individual provider Active NPI

Marilyn C Tiu, M.D.

  • Pediatrics Physician
  • East Liverpool, OH
National Provider Identifier
1598733347
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
35.071087 Issued in OH
Practice address
15549 State Route 170
Unit #5
East Liverpool, OH 43920-9216
Phone
(330) 385-1477
Fax
(330) 385-1485
NPI assigned
Mar 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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 35.071087 OH Primary

Addresses

Primary practice location

15549 State Route 170
Unit #5
East Liverpool, OH 43920-9216

Mailing address

15549 State Route 170
Unit #5
East Liverpool, OH 43920-9216
Phone (330) 385-1477

Other identifiers 3

IdentifierTypeStateIssuer
0231841MedicaidOH
000000554885OtherOHANTHEM BLUE SHIELD
1806610000OtherWVWEST VIRGINIA MEDICAID

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
35.071087OHMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Akron Children'S Hospital Current Accepting new patients
Children'S Hospital Medical Center of Akron Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: mtiu21274@direct.chmca.org

Organizations & group practices 2

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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1598733347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15549 STATE ROUTE 170",
            "address_2": "UNIT #5",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209216",
            "telephone_number": "330-385-1477",
            "fax_number": "330-385-1485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15549 STATE ROUTE 170",
            "address_2": "UNIT #5",
            "city": "EAST LIVERPOOL",
            "state": "OH",
            "postal_code": "439209216",
            "telephone_number": "330-385-1477",
            "fax_number": "330-385-1485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIU",
        "first_name": "MARILYN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-09",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35.071087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0231841",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE SHIELD",
            "identifier": "000000554885",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WEST VIRGINIA MEDICAID",
            "identifier": "1806610000",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Liverpool, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.