Organization Active NPI

Thomas E. Ott, M.D.

  • Specialist
  • Toledo, OH
National Provider Identifier
1942497573
Registry record updated Nov 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35066600 Issued in OH
Legal business name
THOMAS E. OTT, M.D.
Practice address
3030 W Sylvania Ave
Suite 101
Toledo, OH 43613-4100
Phone
(418) 473-6615
Fax
(419) 291-6475
NPI assigned
Sep 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2011

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

Authorized official

Name
Thomas Edward Ott, M.D.NPI 1477654820
Title
M.D.
Phone
(419) 473-6615

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 35066600 OH Primary

Addresses

Primary practice location

3030 W Sylvania Ave
Suite 101
Toledo, OH 43613-4100

Mailing address

3030 W Sylvania Ave
Suite 101
Toledo, OH 43613-4100
Phone (418) 473-6615

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050304000222 OH Part B Supplier - Clinic/Group Practice 7214981034 Receives reassigned benefits from 1 practitioner
Practice locations: Toledo, OH

National Provider Directory

National Provider Directory

Locations

3232 Central Park W
Ste B
Toledo, OH 43617
Phone (419) 473-6615

3030 W Sylvania Ave
Ste 101
Toledo, OH 43613
Phone (418) 473-6615

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": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1322006400000",
    "number": "1942497573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3030 W SYLVANIA AVE",
            "address_2": "SUITE 101",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436134100",
            "telephone_number": "418-473-6615",
            "fax_number": "419-291-6475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 W SYLVANIA AVE",
            "address_2": "SUITE 101",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436134100",
            "telephone_number": "418-473-6615",
            "fax_number": "419-291-6475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS E. OTT, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2011-11-23",
        "status": "A",
        "authorized_official_last_name": "OTT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "419-473-6615",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35066600",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.