Organization Active NPI

Pediatric Pulmonary Associates Inc

  • Pediatric Pulmonology Physician
  • Toledo, OH
National Provider Identifier
1689770349
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
Legal business name
PEDIATRIC PULMONARY ASSOCIATES INC
Practice address
2121 Hughes Dr Ste 640
Toledo, OH 43606-5126
Phone
(419) 291-4261
Fax
(419) 479-6061
NPI assigned
Sep 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Dr. Pierre A Vauthy, M.D.
Title
President
Phone
(419) 291-2207

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Critical Care Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0203X
Pediatric Pulmonology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2080P0214X Primary

Addresses

Primary practice location

2121 Hughes Dr Ste 640
Toledo, OH 43606-5126

Mailing address

2121 Hughes Dr Ste 640
Toledo, OH 43606-5126
Phone (419) 291-4261

Other identifiers 1

IdentifierTypeStateIssuer
0582712MedicaidOH

National Provider Directory

National Provider Directory

Locations

720 W Market St
St Ritas Medical Ctr
Lima, OH 45801
Phone (419) 226-9694

272 Benedict Ave
Norwalk, OH 44857
Phone (419) 668-1341

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1689770349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2121 HUGHES DR STE 640",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436065126",
            "telephone_number": "419-291-4261",
            "fax_number": "419-479-6061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2121 HUGHES DR STE 640",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436065126",
            "telephone_number": "419-291-4261",
            "fax_number": "419-479-6061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC PULMONARY ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-16",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "VAUTHY",
        "authorized_official_first_name": "PIERRE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-291-2207",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0203X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2080P0214X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0582712",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.