Individual provider Active NPI

Timothy Tracey Stephens, MD

  • Emergency Medicine Physician
  • Marion, OH
National Provider Identifier
1265922983
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35.143986 Issued in OH
Practice address
1000 McKinley Park Dr
Marion, OH 43302-6399
Phone
(260) 492-3727
NPI assigned
May 17, 2018
Last updated
Jul 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 322939 NY
Emergency Medicine Physician 207P00000X 35.143986 OH Primary
Family Medicine Physician 207Q00000X P10277 NY

Addresses

Primary practice location

1000 McKinley Park Dr
Marion, OH 43302-6399

Mailing address

9436 Arundel Run
Fort Wayne, IN 46835-9115

Other practice location 1

2432 Grand Concourse
Bronx, NY 10458-5204
Phone (260) 492-3727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NY, VA, NC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20220311001976 OH Practitioner - Family Practice 8527453471 Reassigns benefits to 3 organizations
I20230719002642 NY Practitioner - Emergency Medicine 8527453471 Reassigns benefits to 1 organization
I20240705002137 VA Practitioner - Family PracticePractitioner - Emergency Medicine 8527453471 Reassigns benefits to 3 organizations
I20241010000190 NC Practitioner - Emergency Medicine 8527453471 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Carolina Emergency Physicians PLLCGroup PAC ID 1355254947, 22 clinicians

Practice addresses (Care Compare)

500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (910) 291-7000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
322939NYMDEmergency Medicine Physician
P10277NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina Emergency Physicians, PLLC Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Shenandoah Memorial Hospital, Inc. CurrentSince Jun 6, 2024 Accepting new patients
Page Memorial Hospital, Inc. Family Medicine CurrentSince Jun 6, 2024 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Mar 18, 2023 Accepting new patients
MCHS Hospitals Inc Emergency Medicine Current Accepting new patients
Emergency Physician Services of New York, P.C. Emergency Medicine CurrentSince Aug 15, 2023 Accepting new patients
Warren Memorial Hospital, Inc. Emergency Medicine CurrentSince Jun 6, 2024 Accepting new patients
Ohio Emergency Care Services, Inc Emergency Medicine CurrentSince May 1, 2022 Accepting new patients
Flambeau Hospital Inc CurrentSince Mar 18, 2023 Accepting new patients
Kings Daughters Medical Specialties Inc Family Medicine CurrentSince Jan 13, 2023 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Mar 18, 2023 Accepting new patients
Page Memorial Hospital, Inc. CurrentSince Jun 6, 2024 Accepting new patients
Columbiana Emergency Physicians LLC Emergency Medicine CurrentSince Sep 1, 2025 Accepting new patients
Memorial Hospital Inc CurrentSince Mar 18, 2023 Accepting new patients
Yadkin Emergency Physicians, PLLC Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Jun 6, 2024 Accepting new patients
The Carolinas Emergency Group, PLLC Emergency Medicine CurrentSince Aug 2, 2024 Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 18, 2023 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Jan 13, 2023 Accepting new patients
Flambeau Hospital Inc CurrentSince Mar 18, 2023 Accepting new patients
Shenandoah Memorial Hospital Inc. Family Medicine CurrentSince Jun 6, 2024 Accepting new patients
MCHS Hospitals Inc CurrentSince Mar 18, 2023 Accepting new patients
Marshfield Clinic Inc CurrentSince Mar 18, 2023 Accepting new patients
Shenandoah Memorial Hospital, Inc. Current Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Mar 18, 2023 Accepting new patients
Shenandoah Memorial Hospital, Inc. Past Accepting new patients

Locations

5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468

180 Parkwood Dr
Elkin, NC 28621
Phone (336) 527-7000

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

2201 S Sterling St
Morganton, NC 28655
Phone (828) 580-6393

307 S Evergreen Ave
Woodbury, NJ 08096
Phone (856) 686-4300

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

425 W 5th St
East Liverpool, OH 43920
Phone (330) 385-7200

651 W Marion Rd
Mount Gilead, OH 43338
Phone (419) 946-5015

1901 Argonne Rd
Portsmouth, OH 45662
Phone (740) 991-0911

1242 Crescent Dr
Wheelersburg, OH 45694
Phone (740) 574-8441

351 Valley Health Way
Front Royal, VA 22630
Phone (540) 636-0300

200 Memorial Dr
Luray, VA 22835
Phone (540) 743-4561

220 Campus Blvd
Ste 320
Winchester, VA 22601

240 Shenandoah St
Woodstock, VA 22664
Phone (540) 459-2808

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1000 N Oak Ave
Fl 2
Marshfield, WI 54449

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

4100 State Highway 66
Stevens Point, WI 54482
Phone (715) 343-7700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: tstephens1190940@direct.unc.nchie.net
  • Direct secure messaging: tstephens1211187@valleyhealth.direct-ci.com
  • Direct secure messaging: tstephens3041024@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: tstephens42436@mvhealthsystem.direct-ci.com

Organizations & group practices 28

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.

View all 28

Hospital & facility affiliations 2

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": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1265922983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9436 ARUNDEL RUN",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468359115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MCKINLEY PARK DR",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026399",
            "telephone_number": "260-492-3727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2432 Grand Concourse",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104585204",
            "country_code": "US",
            "telephone_number": "260-492-3727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEPHENS",
        "first_name": "TIMOTHY",
        "middle_name": "TRACEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-17",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "322939",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.143986",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "P10277",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, OH

Sources for this page

Verify at the official NPI Registry.