Timothy Justin Germain, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

MD463261 Issued in PA

Practice address

2315 Myrtle St Ste 290B
Erie, PA 16502-4609

Phone

(814) 452-7300

Fax

(814) 452-5015

NPI assigned

Jul 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• St Vincent Medical Education and Research Institute Inc

  • Internal Medicine Physician
  • Erie, PA
  • NPI 1902881477
  Medicare reassignment NPD
• Principal Medical Group PC

  • Internal Medicine Physician
  • McLean, VA
  • NPI 1134425267
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1013934538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 MYRTLE ST STE 290B",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165024609",
            "telephone_number": "814-452-7300",
            "fax_number": "814-452-5015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 MYRTLE ST STE 290B",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165024609",
            "telephone_number": "814-452-7300",
            "fax_number": "814-452-5015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1355 Beverly Rd",
            "address_2": "Suite 220",
            "address_purpose": "LOCATION",
            "city": "Mc Lean",
            "state": "VA",
            "postal_code": "221013651",
            "country_code": "US",
            "telephone_number": "703-442-8040",
            "fax_number": "703-992-8354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GERMAIN",
        "first_name": "TIMOTHY",
        "middle_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "VA",
            "license": "010196841",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "PA",
            "license": "MD463261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010196841",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tgermain176673@direct.ahn.org",
            "affiliation": "N",
            "address_1": "2315 Myrtle St Ste 290B",
            "city": "Erie",
            "state": "PA",
            "country_code": "US",
            "postal_code": "165024609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julie Marie George, LSW
• Kirsten Carol George, MD
• Martie Ann George, RDH
• Laura Faye Gephart, MD
• Robert L Gerdich, LPN
• David J German, MD
• Jennifer Lynn Gervase, MSN, APRN, FNP-C
• Katherine Getty, CRNP
• Ggnsc Erie II LP
• Ggnsc Erie Western Reserve LP

• Plastic Surgery Physician in Erie, PA
• Providers in Erie, PA by specialty
• Plastic Surgery Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.