TIFFIN EMERGENCY SERVICES, LLC NPI 1003874298

Emergency Medicine in Tiffin, OH

About TIFFIN EMERGENCY SERVICES, LLC

Tiffin Emergency Services, Llc is a provider in Tiffin, OH. The NPI number assigned to this provider is 1003874298. The practitioner's primary taxonomy code is Emergency Medicine (207P00000X). The provider is registered as an organization and their NPI record was last updated 9 years ago. Tiffin Emergency Services, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization.

NPI1003874298 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameTIFFIN EMERGENCY SERVICES, LLC
Provider Location Address485 W MARKET ST TIFFIN, OH 44883 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressPO BOX 758705 BALTIMORE, MD 21275 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
NPI Entity TypeOrganization Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?No Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date05-04-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-23-2008 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

TIFFIN EMERGENCY SERVICES, LLC
485 W MARKET ST
TIFFIN, OH
ZIP 44883
Phone: (419) 447-3130
Fax: (904) 805-1302
Get Directions

Mailing Address

TIFFIN EMERGENCY SERVICES, LLC
PO BOX 758705
BALTIMORE, MD
ZIP 21275
Phone: (904) 805-1300
Fax: (904) 805-1302

Primary Taxonomy

Taxonomy Code207P00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationEmergency Medicine
TypeAllopathic & Osteopathic Physicians
Taxonomy DescriptionAn emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Authorized Official

Authorized Official Name ROBERT J BUNKER Additional informationCallout TooltipAuthorized official name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.
Authorized Official TitleCHAIRMAN/PRESIDENT/CEO
Authorized Official Phone(904) 805-1300

193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantNo

Taxonomy Description: a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

2363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNo

Taxonomy Description: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
205170500OTHER (01)OH
=========OTHER (01)OH
2193344MEDICAID (05)OH
=========00OTHER (01)OH
9348511MEDICARE PIN (08)OH
000000187144OTHER (01)OH
DC4950OTHER (01)OH
=========002OTHER (01)OH
205170500OTHER (01)OH

Map Location


TIFFIN EMERGENCY SERVICES, LLC address is 485 W MARKET ST TIFFIN, OH 44883

Other Providers at the same location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1093740425 KOMMULA CHIRANJEEVI RAO MD
Individual
Radiology (Diagnostic Radiology)485 W MARKET ST
TIFFIN, OH 44883
(419) 447-3130
1124062732MERCY HOSPITAL OF TIFFIN, OHIO
Organization
Skilled Nursing Facility485 W MARKET ST
TIFFIN, OH 44883
(419) 447-3130
1174558506 JORGE CEPEDA MD
Individual
Radiology (Diagnostic Radiology)485 W MARKET ST
TIFFIN, OH 44883
(419) 447-3130
1265607394PUNITA P KOTHARI
Organization
Pathology (Clinical Pathology/Laboratory Medicine)485 W MARKET ST
TIFFIN, OH 44883
(419) 448-4553
1285615633 MEERA AGARWAL M.D
Individual
Medical Genetics, Ph.D. Medical Genetics485 W MARKET ST
TIFFIN, OH 44883
(419) 448-1900
1447285879 JUNG JOO SUH MD
Individual
Radiology (Diagnostic Radiology)485 W MARKET ST
TIFFIN, OH 44883
(419) 447-3130
1497809677 DOROTHY J. BUTTROM CRNA
Individual
Nurse Anesthetist, Certified Registered485 W MARKET ST
TIFFIN, OH 44883
(419) 251-2673
1508890781SERI KAOSOL, MD
Organization
Pathology (Anatomic Pathology & Clinical Pathology)485 W MARKET ST
TIFFIN, OH 44883
(419) 448-4814
1699700021 DONG SOO PARK MD
Individual
Radiology (Diagnostic Radiology)485 W MARKET ST
TIFFIN, OH 44883
(419) 447-3130
1891978342DR. KUSUM S KOTHARI M.D.
Individual
Pathology (Anatomic Pathology & Clinical Pathology)485 W MARKET ST
TIFFIN, OH 44883
(419) 448-3101