Timothy Mahon, M.D.
Individual provider Active NPI Emergency Medicine Physician · Lansing, MI
NPI 1194012807 · NPPES record last updated Feb 16, 2016
Key facts
- NPI
- 1194012807
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 4301099350 (MI)
- Practice address
- 1215 E Michigan Ave
Lansing, MI 48912-1811 - Phone
- (517) 364-1000
- NPI assigned
- Jul 1, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 15
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Michigan State University College of Osteopathic Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- McLaren Hospital Group
Helen Newberry Joy Hospital
Practice addresses (Care Compare)
1900 Columbus Ave
Bay City, MI 48708-6831
Phone (989) 894-3000
502 W Harrie St
Newberry, MI 49868-1209
Phone (906) 293-9200
Hospital & facility affiliations
- McLaren Bay Region
- Helen Newberry Joy Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160302002078 | MI | Practitioner - Emergency Medicine |
2365664729 | Reassigns benefits to 8 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.207280 | LA | MD | Emergency Medicine Physician |
| 4301099350 | MI | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hillsdale Emergency Physicians, P.C. | Emergency Medicine | Current |
Accepting new patients |
| Sparrow Ionia Hospital | Current |
Accepting new patients | |
| Helen Newberry Joy Hospital & Healthcare Center | Current | Accepting new patients | |
| Sparrow Ionia Hospital | Emergency Medicine | Current |
Accepting new patients |
| Degara App, PLLC | Emergency Medicine | Current |
Accepting new patients |
| Portage Physician Practices Inc | Emergency Medicine | Current |
Accepting new patients |
| Sparrow Ionia Hospital | Current | Accepting new patients | |
| McLaren Hospital Group | Emergency Medicine | Current |
Accepting new patients |
| Helen Newberry Joy Hospital & Healthcare Center | Current |
Accepting new patients | |
| Portage Physician Practices Inc | Current |
Accepting new patients | |
| Helen Newberry Joy Hospital & Healthcare Center | Current |
Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000
401 N Hooper St
Caro, MI 48723
Phone (517) 673-3141
401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000
500 Campus Dr
Hancock, MI 49930
Phone (906) 483-1000
500 Campus Dr
Ste 5
Hancock, MI 49930
Phone (906) 483-1700
168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451
3565 S State Rd
Ionia, MI 48846
Phone (616) 523-1355
550 E Washington St
Ionia, MI 48846
Phone (616) 523-1600
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286
502 W Harrie St
Newberry, MI 49868
Phone (906) 293-9131
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
805 W Cedar St
Standish, MI 48658
Phone (989) 846-3500
2110 S M 76
West Branch, MI 48661
Phone (989) 345-4884
Interoperability endpoints
- tmahon142704@mymichiganhealth.midirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD.207280 | LA | |
| Emergency Medicine Physician | 207P00000X | 4301099350 | MI | Yes |
Addresses
Primary practice location
1215 E Michigan Ave
Lansing, MI 48912-1811
Mailing address
5157 Navajo TRL
Pinckney, MI 48169-9397
Phone (517) 862-2933
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2188763 | Medicaid | LA |
Other providers in Lansing, MI
- Maddison Mahar
- Mary Ann Maher
- Nabeeha Naseer Mahmood
- Jaskiran Mahngar
- Catherine Elizabeth Mahon
- Madeline Rae Mahoney
- Jeffrey M Maidlow
- Daniel Maier
- Gracelynn Maike
- Charles Main
All providers in Lansing, MI · Emergency Medicine Physician in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 16, 2016. 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.