Active NPI
Pierre A Vauthy, MD
- Pediatric Pulmonology Physician
- Toledo, OH
National Provider Identifier
1780667139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Pulmonology Physician
- License
- 35037406V
- Practice address
- 2121 Hughes Dr
HMT Suite 640
Toledo, OH 43606-3845 - Phone
- (419) 291-2207
- Fax
- (419) 479-6998
- NPI assigned
- Nov 21, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Pulmonology Physician | 2080P0214X | 35037406V | OH | Primary |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 35034706 | OH |
Addresses
Primary practice location
2121 Hughes Dr
HMT Suite 640
Toledo, OH 43606-3845
Mailing address
2121 Hughes Dr
HMT Suite 640
Toledo, OH 43606-3845
Phone (419) 291-2207
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4207285 | Other | OH | AETNA |
| 5202279 | Medicaid | MI | |
| 108738 | Other | GLHP | |
| 6146 | Other | HEALTH PLAN OF MI | |
| 00280 | Other | OH | PARAMOUNT |
| 000000520831 | Other | OH | ANTHEM |
| 000000219652 | Other | UNISON | |
| 0311844 | Medicaid | OH |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35034706 | OH | MD | Pediatric Critical Care Medicine Physician |
| 35037406V | OH | MD | Pediatric Pulmonology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Lima Memorial Health System
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220832000000",
"number": "1780667139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 HUGHES DR",
"address_2": "HMT SUITE 640",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063845",
"telephone_number": "419-291-2207",
"fax_number": "419-479-6998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 HUGHES DR",
"address_2": "HMT SUITE 640",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436063845",
"telephone_number": "419-291-2207",
"fax_number": "419-479-6998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUTHY",
"first_name": "PIERRE",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-21",
"last_updated": "2008-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0214X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Pulmonology",
"state": "OH",
"license": "35037406V",
"primary": true
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "OH",
"license": "35034706",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "4207285",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5202279",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GLHP",
"identifier": "108738",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH PLAN OF MI",
"identifier": "6146",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARAMOUNT",
"identifier": "00280",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000520831",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "000000219652",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0311844",
"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 Sep 8, 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.