Individual provider Active NPI

Timothy F Madgar, OD PA

  • Optometrist
  • Parkville, MD
National Provider Identifier
1194809566
Registry record updated Feb 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
TA0865 Issued in MD
Practice address
7954 Harford Road
Parkville, MD 21234-5838
Phone
(410) 665-5353
Fax
(410) 665-9703
NPI assigned
Oct 24, 2006
Last updated
Feb 11, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X TA0865 MD Primary

Addresses

Primary practice location

7954 Harford Road
Parkville, MD 21234-5838

Mailing address

7954 Harford Road
Parkville, MD 21234-5838
Phone (410) 665-5353

Other identifiers 1

IdentifierTypeStateIssuer
X222TFOtherMDCARE FIRST

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041130000177 MD Practitioner - Optometry 9335104595 Practice locations: Parkville, MD

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
University Alabama Birmingham - School of Optometry, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7954 Harford Rd
Parkville, MD 21234-5838
Phone (410) 665-5353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297382400000",
    "number": "1194809566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7954 HARFORD ROAD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212345838",
            "telephone_number": "410-665-5353",
            "fax_number": "410-665-9703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7954 HARFORD ROAD",
            "city": "PARKVILLE",
            "state": "MD",
            "postal_code": "212345838",
            "telephone_number": "410-665-5353",
            "fax_number": "410-665-9703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADGAR",
        "first_name": "TIMOTHY",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "OD PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2011-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA0865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST",
            "identifier": "X222TF",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Parkville, MD

Sources for this page

Verify at the official NPI Registry.