Timothy Jeffirs, PA-C
Individual provider Active NPI Medical Physician Assistant · Argos, IN
NPI 1063019289 · NPPES record last updated Oct 1, 2020
Key facts
- NPI
- 1063019289
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- Practice address
- 10662 12TH Rd
Argos, IN 46501-9551 - Phone
- (574) 936-7273
- NPI assigned
- Oct 1, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
201 W Layton Pkwy
Layton, UT 84041-3692
3741 W 12600
Riverton, UT 84065-7215
4401 Harrison Blvd
Ogden, UT 84403-3195
700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600
Hospital & facility affiliations
- Intermountain Health McKay-Dee Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210604002486 | UT | Practitioner - Physician Assistant | 5698174076 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ihc Health Services, Inc. | Current |
Accepting new patients | |
| After Hours Medical LLC, Dba Medallus Medical | Current |
Accepting new patients | |
| After Hours Medical LLC, Dba Medallus Medical | Current |
Accepting new patients | |
| Ihc Health Services Inc | Current |
Accepting new patients | |
| Ihc Health Services Inc | Past | Accepting new patients |
Locations
1126 E Draper Pkwy
Draper, UT 84020
Phone (801) 545-0600
700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555
4403 Harrison Blvd
Ste 3630
Ogden, UT 84403
Phone (801) 387-7900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | Yes |
Addresses
Primary practice location
10662 12TH Rd
Argos, IN 46501-9551
Mailing address
10662 12TH Rd
Argos, IN 46501-9551
Phone (574) 936-7273
Other providers in Argos, IN
- Argos Family Dentistry PC
- Michael Evan Dixon
- Shannon Michelle Guckien
- John L Haste
- Elizabeth Ann Holsopple
- Gina L Moore
- Christopher M Ricketts
- Road Apple Psychotherapy
- Debra F Sanders
- Jennifer L Shank
All providers in Argos, IN · Medical Physician Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 1, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.