Individual provider Active NPI

Timothy Weeks, PA-C

  • Physician Assistant
  • Englewood, OH
National Provider Identifier
1043948771
Registry record updated Dec 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.007691RX Issued in OH
Practice address
1130 S Main St
Englewood, OH 45322-2819
Phone
(937) 208-6879
NPI assigned
Aug 10, 2022
Last updated
Dec 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 50.007691RX OH Primary

Addresses

Primary practice location

1130 S Main St
Englewood, OH 45322-2819

Mailing address

200 Briar Ave NE
North Canton, OH 44720-2621

Other practice location 1

1 N Brookwood Ave
Hamilton, OH 45013-1209
Phone (513) 981-4203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230124002797 OH Practitioner - Physician Assistant 1254702533 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Health Urgent Care, Inc.Group PAC ID 3870848088, 39 clinicians

Practice addresses (Care Compare)

1130 S Main St
Englewood, OH 45322-2819
Phone (937) 208-6879

135 W Dorothy LN
Kettering, OH 45429-1489
Phone (937) 208-0300

1843 W Main St
Troy, OH 45373-2303
Phone (937) 208-4120

2484 N Fairfield Rd
Beavercreek, OH 45431-1787
Phone (937) 208-8170

280 Looney Rd
Suite 107
Piqua, OH 45356-4199
Phone (937) 440-7683

6071 Far Hills Ave
Centerville, OH 45459-1923
Phone (937) 208-6887

752 N Main St
Springboro, OH 45066-8944
Phone (937) 208-6865

8 Prestige Plaza Dr
Suite 107
Miamisburg, OH 45342-7304
Phone (937) 208-6871

8290 Old Troy Pike
Suite 40a
Huber Heights, OH 45424-1056
Phone 93720841001056

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Urgent Care LLC CurrentSince Jan 5, 2026 Accepting new patients
Mvhe Inc CurrentSince Jan 6, 2024 Accepting new patients
Mvhe Inc CurrentSince Jan 6, 2024 Accepting new patients
Uvpc Specialists Inc. PastSince Dec 7, 2025 Accepting new patients

Locations

722 N Fairfield Rd
Beavercreek, OH 45434
Phone (937) 208-7000

2451 Wayne Ave
Dayton, OH 45420
Phone (937) 252-1831

1 N Brookwood Ave
Hamilton, OH 45013
Phone (513) 805-4499

1064 State Route 28
Ste F
Milford, OH 45150
Phone (513) 981-4050

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1660089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764892800000",
    "number": "1043948771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BRIAR AVE NE",
            "city": "NORTH CANTON",
            "state": "OH",
            "postal_code": "447202621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 S MAIN ST",
            "city": "ENGLEWOOD",
            "state": "OH",
            "postal_code": "453222819",
            "telephone_number": "937-208-6879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 N Brookwood Ave",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "OH",
            "postal_code": "450131209",
            "country_code": "US",
            "telephone_number": "513-981-4203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEEKS",
        "first_name": "TIMOTHY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-10",
        "last_updated": "2025-12-05",
        "certification_date": "2025-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.007691RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, OH

Sources for this page

Verify at the official NPI Registry.