Active NPI
Tiffani Dawn Tobin, PA
- Physician Assistant
- Columbus, OH
National Provider Identifier
1669655387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.002715
- Practice address
- 100 E Campus View Blvd Ste 250
Columbus, OH 43235-4682 - Phone
- (614) 344-7547
- Fax
- (614) 344-7547
- NPI assigned
- Dec 17, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 50.002715 | OH | Primary |
Addresses
Primary practice location
100 E Campus View Blvd Ste 250
Columbus, OH 43235-4682
Mailing address
100 E Campus View Blvd Ste 250
Columbus, OH 43235-4682
Phone (614) 344-7547
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50.002715 | Other | OH | OHIO LIC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@discovertranquility.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2022 through Jan 1, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50.002715 | OH | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tranquility Psychiatry and Counseling Services | Current | Accepting new patients | |
| Providers for Healthy Living | Current | Accepting new patients | |
| Donald L Freidenberg | Past | Accepting new patients | |
| Providers for Healthy Living | Past | Accepting new patients |
Locations
100 E Campus View Blvd
Ste 250
Columbus, OH 43235
Phone (267) 817-8902
8351 N High St
Ste 155
Columbus, OH 43235
Phone (614) 664-3595
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.
-
- Psychiatry Physician
- Columbus, OH
- NPI 1356096283
-
- Psychiatry Physician
- Columbus, OH
- NPI 1083905830
-
- Neurology Physician
- Columbus, OH
- NPI 1023230455
-
- Psychiatry Physician
- Hilliard, OH
- NPI 1811560899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1197849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654560000000",
"number": "1669655387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E CAMPUS VIEW BLVD STE 250",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432354682",
"telephone_number": "614-344-7547",
"fax_number": "614-344-7547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E CAMPUS VIEW BLVD STE 250",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432354682",
"telephone_number": "614-344-7547",
"fax_number": "614-344-7547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOBIN",
"first_name": "TIFFANI",
"middle_name": "DAWN",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-17",
"last_updated": "2022-06-07",
"certification_date": "2022-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.002715",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OHIO LIC",
"identifier": "50.002715",
"state": "OH"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "info@discovertranquility.com",
"affiliation": "N",
"address_1": "100 E Campus View Blvd Ste 250",
"city": "Columbus",
"state": "OH",
"country_code": "US",
"postal_code": "432354682",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.