Timothy Jon Bodenschatz, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

1222113 Issued in PA

Practice address

374 Theatre Dr
Johnstown, PA 15904-3221

Phone

(814) 619-4587

NPI assigned

Jan 24, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Johnstown Heart and Vascular Center Inc.

  • Interventional Cardiology Physician
  • Johnstown, PA
  • NPI 1073858098
  Medicare reassignment NPD
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740873600000",
    "number": "1194537324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 JACQUELINE DR",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159041258",
            "telephone_number": "814-341-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 THEATRE DR",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159043221",
            "telephone_number": "814-619-4587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODENSCHATZ",
        "first_name": "TIMOTHY",
        "middle_name": "JON",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-03-02",
        "certification_date": "2025-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "1222113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James E Boatman, M.D.
• Shaunna Marie Bobak
• Sai Harsha Bobba, MD
• Apryle Lynn Bober, CRNP
• Rhiana Bodenschatz, OTR
• Christy Lynn Bolen, PHARM.D.
• Martin Dale Bolinger Jr., DO
• Meghan Bolinger, PHARMD
• Kristen Ann Bollinger
• Brittany Bonneau, PHARMD

• Physician Assistant in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2025; 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.

Verify at the official NPI Registry.