Provider Demographics
NPI:1205886439
Name:PILATI, LOUIS E (MD)
Entity type:Individual
Prefix:
First Name:LOUIS
Middle Name:E
Last Name:PILATI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8166 OLD WOODS CT
Mailing Address - Street 2:
Mailing Address - City:SPRINGBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45066-9194
Mailing Address - Country:US
Mailing Address - Phone:937-384-8772
Mailing Address - Fax:
Practice Address - Street 1:4000 MIAMISBURG CENTERVILLE RD
Practice Address - Street 2:SUITE 103
Practice Address - City:MIAMISBURG
Practice Address - State:OH
Practice Address - Zip Code:45342-7615
Practice Address - Country:US
Practice Address - Phone:937-384-8772
Practice Address - Fax:937-384-4853
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2020-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35068339146D00000X, 207P00000X
OH35.068339207PE0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PE0005XAllopathic & Osteopathic PhysiciansEmergency MedicineUndersea and Hyperbaric Medicine
No146D00000XEmergency Medical Service ProvidersPersonal Emergency Response Attendant
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2046459Medicaid
OH0638066OtherMEDICARE PTAN
OH0898701OtherMEDICARE PTAN
OH2046459Medicaid
OH2046459Medicaid