Individual provider Active NPI

Thomas Louis Taxman, MD

  • Gastroenterology Physician
  • Lyndhurst, OH
National Provider Identifier
1679570220
Registry record updated Nov 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
35.050627 Issued in OH
Practice address
29001 Cedar Rd Ste 500
Lyndhurst, OH 44124-6501
Phone
(440) 442-0500
Fax
(440) 442-0501
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 35050627T OH
Specialist 174400000X 35050627 OH
Pediatric Gastroenterology Physician 2080P0206X 35050627 OH
Gastroenterology Physician 207RG0100X 35.050627 OH Primary

Addresses

Primary practice location

29001 Cedar Rd Ste 500
Lyndhurst, OH 44124-6501

Mailing address

29001 Cedar Rd Ste 500
Lyndhurst, OH 44124-6501
Phone (440) 442-0500

Other practice location 1

10600 Montgomery Rd
Montgomery, OH 45242-4463
Phone (513) 794-5600

Other identifiers 1

IdentifierTypeStateIssuer
0638546MedicaidOH

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120419000527 OH Practitioner - Gastroenterology 1951562909 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35050627OHMDSpecialist
35050627TOHMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G, LLC CurrentSince Dec 6, 2021 Accepting new patients
Trihealth H LLC Gastroenterology CurrentSince Dec 6, 2021 Accepting new patients
Trihealth G LLC Gastroenterology CurrentSince Dec 6, 2021 Accepting new patients

Locations

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

10600 Montgomery Rd
Montgomery, OH 45242
Phone (513) 236-2697

10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635724800000",
    "number": "1679570220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29001 CEDAR RD STE 500",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441246501",
            "telephone_number": "440-442-0500",
            "fax_number": "440-442-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29001 CEDAR RD STE 500",
            "city": "LYNDHURST",
            "state": "OH",
            "postal_code": "441246501",
            "telephone_number": "440-442-0500",
            "fax_number": "440-442-0501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10600 Montgomery Rd",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "OH",
            "postal_code": "452424463",
            "country_code": "US",
            "telephone_number": "513-794-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAXMAN",
        "first_name": "THOMAS",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2021-11-01",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35050627T",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OH",
            "license": "35050627",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "OH",
            "license": "35050627",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "OH",
            "license": "35.050627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0638546",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lyndhurst, OH

Sources for this page

Verify at the official NPI Registry.