Active NPI
Timothy Mahon, M.D.
- Emergency Medicine Physician
- Lansing, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 4301099350
- Practice address
- 1215 E Michigan Ave
Lansing, MI 48912-1811 - Phone
- (517) 364-1000
- NPI assigned
- Jul 1, 2011
- Last updated
- Feb 16, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD.207280 | LA | |
| Emergency Medicine Physician | 207P00000X | 4301099350 | MI | Primary |
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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- 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
- 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- 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 |
|---|---|---|---|
| Sparrow Ionia Hospital | Current | Accepting new patients | |
| Portage Physician Practices Inc | Current | Accepting new patients | |
| Helen Newberry Joy Hospital & Healthcare Center | Current | Accepting new patients | |
| Portage Physician Practices Inc | Emergency Medicine | Current | Accepting new patients |
| Degara App, PLLC | Emergency Medicine | Current | Accepting new patients |
| Helen Newberry Joy Hospital & Healthcare Center | Current | Accepting new patients | |
| Sparrow Ionia Hospital | Emergency Medicine | Current | Accepting new patients |
| Hillsdale Emergency Physicians, P.C. | 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 |
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
Organizations & group practices 11
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.
-
- Emergency Medicine Physician
- Flint, MI
- NPI 1942026174
-
- Emergency Medicine Physician
- Lansing, MI
- NPI 1265976971
-
- Critical Access Hospital
- Newberry, MI
- NPI 1497742050
-
dba Manistique Lakes Family Clinic
- Rural Health Clinic/Center
- Curtis, MI
- NPI 1972650935
-
- Emergency Medicine Physician
- Hillsdale, MI
- NPI 1669018206
-
- Internal Medicine Physician
- Hancock, MI
- NPI 1225461684
Emergency Medicine
-
dba University of Michigan Health-Sparrow Ionia
- Critical Access Hospital
- Ionia, MI
- NPI 1700820065
-
dba HNJH - Skilled Care
- Nursing Facility/Intermediate Care Facility
- Newberry, MI
- NPI 1164545323
-
dba UP Medical Group - Portage Express Care
- Rural Health Clinic/Center
- Calumet, MI
- NPI 1164106910
-
dba Sparrow Medical Group Ionia
- Family Medicine Physician
- Ionia, MI
- NPI 1033271143
-
dba Sparrow Ionia Hospital Physicians
- Emergency Medicine Physician
- Ionia, MI
- NPI 1588747075
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Newberry, MI
- NPI 1497742050
-
- General Acute Care Hospital
- Bay City, MI
- NPI 1528031226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309478400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455580800000",
"number": "1194012807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5157 NAVAJO TRL",
"city": "PINCKNEY",
"state": "MI",
"postal_code": "481699397",
"telephone_number": "517-862-2933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 E MICHIGAN AVE",
"city": "LANSING",
"state": "MI",
"postal_code": "489121811",
"telephone_number": "517-364-1000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHON",
"first_name": "TIMOTHY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-01",
"last_updated": "2016-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "MD.207280",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "4301099350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lansing, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.