Individual provider Active NPI

William Gregory Timmer, DO

  • Emergency Medicine Physician
  • Marietta, OH
National Provider Identifier
1174086128
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34.015660 Issued in OH
Practice address
401 Matthew Street
Emergency Department
Marietta, OH 45750-4575
Phone
(740) 568-5669
NPI assigned
Apr 8, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34.015660 OH Primary

Addresses

Primary practice location

401 Matthew Street
Emergency Department
Marietta, OH 45750-4575

Mailing address

401 Matthew Street
Emergency Department
Marietta, OH 45750
Phone (740) 568-5669

Other practice location 1

799 Farson St
Belpre, OH 45714-1082
Phone (740) 401-1150

Other practice location 2

1106 Colegate Dr
Marietta, OH 45750-1323
Phone (740) 568-2000

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address emergency.providers@mmhs.medicity.net
Direct Messaging Address emergency.providers@mmhs.medicity.net
Direct Messaging Address emergency.providers@mmhs.medicity.net

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220602002396 OH Practitioner - Emergency Medicine 1951789924 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marietta Memorial HospitalGroup PAC ID 8224928965, 387 clinicians

Practice addresses (Care Compare)

401 Matthew St
Marietta, OH 45750-1635
Phone (740) 374-1400

Hospital & facility affiliations

  • Marietta Memorial Hospital Hospital, Marietta, OH, CCN 360147

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.015660OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Selby General Hospital Current Accepting new patients
Marietta Memorial Hospital Emergency Medicine CurrentSince Jul 1, 2022 Accepting new patients
Marietta Memorial Hospital CurrentSince Jul 1, 2022 Accepting new patients
Selby General Hospital CurrentSince Jul 1, 2022 Accepting new patients

Locations

799 Farson St
Belpre, OH 45714
Phone (740) 401-1150

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

1106 Colegate Dr
Marietta, OH 45750
Phone (740) 374-7700

416 Colegate Dr
#3
Marietta, OH 45750
Phone (740) 236-9047

Interoperability endpoints

  • Direct secure messaging: william.timmer@mmhs.medicity.net

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1174086128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 MATTHEW STREET",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "45750",
            "telephone_number": "740-568-5669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MATTHEW STREET",
            "address_2": "EMERGENCY DEPARTMENT",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457504575",
            "telephone_number": "740-568-5669"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "799 Farson St",
            "address_purpose": "LOCATION",
            "city": "Belpre",
            "state": "OH",
            "postal_code": "457141082",
            "country_code": "US",
            "telephone_number": "740-401-1150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1106 Colegate Dr",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "OH",
            "postal_code": "457501323",
            "country_code": "US",
            "telephone_number": "740-568-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIMMER",
        "first_name": "WILLIAM",
        "middle_name": "GREGORY",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-04-08",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.015660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emergency.providers@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "799 Farson St",
            "city": "Belpre",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457141082",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emergency.providers@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "401 Matthew Street",
            "address_2": "Emergency Department",
            "city": "MARIETTA",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457504575",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emergency.providers@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "1106 Colegate Dr",
            "city": "Marietta",
            "state": "OH",
            "country_code": "US",
            "postal_code": "457501323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

Verify at the official NPI Registry.