Active NPI
Elizabeth Ann Gegorski
- Pediatrics Physician
- Tiffin, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 35.147308
- Practice address
- 500 W Market St
Tiffin, OH 44883-2610 - Phone
- (419) 455-8150
- Fax
- (419) 455-8159
- NPI assigned
- Mar 25, 2020
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 35.147308 | OH | Primary |
Addresses
Primary practice location
500 W Market St
Tiffin, OH 44883-2610
Mailing address
500 W Market St
Tiffin, OH 44883-2610
Phone (419) 455-8150
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: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.147308 | OH | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians North Specialty Care LLC | Current | Accepting new patients | |
| Northwest Pediatric Specialists, LLC | Pediatrics | Current | Accepting new patients |
| Mercy Health Physicians North Specialty Care LLC | Current | Accepting new patients | |
| Mercy Health - Tiffin Hospital LLC | Past | Accepting new patients |
Locations
700 Childrens Dr
Columbus, OH 43205
Phone (614) 722-4411
3521 Briarfield Blvd
Maumee, OH 43537
Phone (419) 794-7259
45 St Lawrence Dr
Tiffin, OH 44883
Phone (419) 448-1900
500 W Market St
Tiffin, OH 44883
Phone (419) 251-8210
3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126
Interoperability endpoints
- egegorski850624@direct.bsmhealth.org
- https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4
- https://hkc.nationwidechildrens.org/FHIR/MYCHART/api/FHIR/R4
Organizations & group practices 4
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.
-
- Surgery Physician
- Toledo, OH
- NPI 1306468418
-
- Pediatrics Physician
- Toledo, OH
- NPI 1033709100
-
- Customized Equipment (DME)
- Toledo, OH
- NPI 1235891672
-
- General Acute Care Hospital
- Tiffin, OH
- NPI 1316994734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585094400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744243200000",
"number": "1659908978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 W MARKET ST",
"city": "TIFFIN",
"state": "OH",
"postal_code": "448832610",
"telephone_number": "419-455-8150",
"fax_number": "419-455-8159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W MARKET ST",
"city": "TIFFIN",
"state": "OH",
"postal_code": "448832610",
"telephone_number": "419-455-8150",
"fax_number": "419-455-8159"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEGORSKI",
"first_name": "ELIZABETH",
"middle_name": "ANN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-25",
"last_updated": "2025-04-10",
"certification_date": "2025-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OH",
"license": "35.147308",
"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 Apr 10, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.