Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tanner Stippich

Individual provider Surgical Physician Assistant · NPI 1053924415

Tanner Stippich is a Physician Assistant in Lima, Ohio. Qualified in 2021, 5 years ago. Practices with Orthopaedic Institute of Ohio, Inc, a 74-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
5
Licensed in
OH
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

801 Medical Dr Ste A
Lima, OH 45804-4030
Phone: (419) 222-6622
Fax: (419) 224-0015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X
Surgical Physician Assistant Taxonomy 363AS0400X · Licence 50007469RX (OH)

Record details

NPI number1053924415
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 26, 2020
Last updated in NPPESJanuary 12, 2024
Certification dateJanuary 12, 2024
Mailing address801 Medical Dr Ste A, Lima, OH 45804-4030

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Orthopaedic Institute Of Ohio, Inc — 74 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Lima