Active NPI
Tyler R Stagani
- Athletic Trainer
- Tiffin, OH
National Provider Identifier
1922481217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 310 E Market St
Tiffin, OH 44883-2434 - Phone
- (740) 381-3890
- NPI assigned
- Jul 3, 2015
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
310 E Market St
Tiffin, OH 44883-2434
Mailing address
801 County Road 41
Richmond, OH 43944-6905
Phone (740) 381-3890
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 593351587327 | Other | OH | MEDICAL MUTUAL |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435881600000",
"number": "1922481217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 COUNTY ROAD 41",
"city": "RICHMOND",
"state": "OH",
"postal_code": "439446905",
"telephone_number": "740-381-3890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 E MARKET ST",
"city": "TIFFIN",
"state": "OH",
"postal_code": "448832434",
"telephone_number": "740-381-3890"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAGANI",
"first_name": "TYLER",
"middle_name": "R",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-03",
"last_updated": "2015-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL MUTUAL",
"identifier": "593351587327",
"state": "OH"
}
],
"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 Jul 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.