Individual provider Active NPI

Tiffany K Thymius, D.O.

  • Family Medicine Physician
  • Beckley, WV
National Provider Identifier
1285726844
Registry record updated Jul 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1802 Issued in WV
Practice address
252 Rural Acres Dr
Beckley, WV 25801-3503
Phone
(304) 252-8551
Fax
(304) 252-1790
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1802 WV Primary

Addresses

Primary practice location

252 Rural Acres Dr
Beckley, WV 25801-3503

Mailing address

252 Rural Acres Dr
Beckley, WV 25801-3503
Phone (304) 252-8551

Other identifiers 6

IdentifierTypeStateIssuer
P00389007OtherWVMEDICARE TRAVELERS RAILRO
90036MedicaidWV
321726OtherCARELINK
1806250000MedicaidWV
58588MedicaidWV
H54912OtherHEALTH NET

Other names 1

  • Tiffany Kitts Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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

Enrollment IDStateProvider typePAC IDDetails
I20050826000442 WV Practitioner - Family Practice 6305877531 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Systems, Inc. CurrentSince Jun 1, 2005 Accepting new patients
Community Health Systems Inc CurrentSince Jun 1, 2005 Accepting new patients
New River Health Association, Inc. Past Accepting new patients

Locations

252 Rural Acres Dr
Beckley, WV 25801
Phone (304) 252-8551

2157 Ritter Dr
Daniels, WV 25832
Phone (304) 461-0300

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1285726844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 RURAL ACRES DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013503",
            "telephone_number": "304-252-8551",
            "fax_number": "304-252-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 RURAL ACRES DR",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258013503",
            "telephone_number": "304-252-8551",
            "fax_number": "304-252-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THYMIUS",
        "first_name": "TIFFANY",
        "middle_name": "K",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "1802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TRAVELERS RAILRO",
            "identifier": "P00389007",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "90036",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARELINK",
            "identifier": "321726",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1806250000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "58588",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "H54912",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "KITTS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.