Active NPI
Timothy Edward Onderlinde
- Non-emergency Medical Transport (VAN)
- Williamsburg, MI
National Provider Identifier
1053970475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-emergency Medical Transport (VAN)
- Practice address
- 3855 Pulverwoods Rd
Williamsburg, MI 49690-9655 - Phone
- (269) 720-5667
- NPI assigned
- Jun 10, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-emergency Medical Transport (VAN) | 343900000X | Primary |
Addresses
Primary practice location
3855 Pulverwoods Rd
Williamsburg, MI 49690-9655
Mailing address
P.O. Box 340
Acme, MI 49610
Phone (269) 720-5667
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | baymedicaltrans@gmail.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560124800000",
"number": "1053970475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 340",
"city": "ACME",
"state": "MI",
"postal_code": "49610",
"telephone_number": "269-720-5667"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3855 PULVERWOODS RD",
"city": "WILLIAMSBURG",
"state": "MI",
"postal_code": "496909655",
"telephone_number": "269-720-5667"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ONDERLINDE",
"first_name": "TIMOTHY",
"middle_name": "EDWARD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-06-10",
"last_updated": "2019-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "baymedicaltrans@gmail.com",
"affiliation": "N",
"address_1": "3855 PULVER WOODS DR",
"city": "WILLIAMSBURG",
"state": "MI",
"country_code": "US",
"postal_code": "49690",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Williamsburg, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.