Michael Anthony Timar, DO
Individual provider Active NPI Family Medicine Physician · Fairlawn, OH
NPI 1477042968 · NPPES record last updated Dec 3, 2024
Key facts
- NPI
- 1477042968
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 34.015252 (OH)
- Practice address
- 3800 Embassy Pkwy Ste 230
Fairlawn, OH 44333-8409 - Phone
- (330) 666-4158
- Fax
- (330) 668-2256
- NPI assigned
- May 9, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 13
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- University Primary Care Practices Inc
Practice addresses (Care Compare)
158 W Main Rd
Conneaut, OH 44030-2039
Hospital & facility affiliations
- University Hospitals Ahuja Medical Center
- Uh Cleveland Medical Center
- Akron General Medical Center
- Summa Health System
- Parma Community General Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221208001410 | OH | Practitioner - Family Practice | 4183976962 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Primary Care Practices Inc | Family Medicine | Current |
Accepting new patients |
| Guthrie Medical Group, P.C. | Family Medicine | Current | Accepting new patients |
| Guthrie Medical Group, P.C. | Family Medicine | Current | Accepting new patients |
| The Metrohealth System | Current | Accepting new patients | |
| University Primary Care Practices Inc | Current | Accepting new patients | |
| University Primary Care Practices Inc | Current |
Accepting new patients | |
| Copley Medical Group, Inc | Family Medicine | Past |
Accepting new patients |
| University Hospitals Medical Group Inc | Past | Accepting new patients | |
| University Primary Care Practices | Past | Accepting new patients |
Locations
158 W Main Rd
Ste 203
Conneaut, OH 44030
Phone (440) 285-2960
29000 Center Ridge Rd
Westlake, OH 44145
Phone (440) 414-6046
127 Sullivan St
Canton, PA 17724
Phone (570) 673-3197
1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106
Interoperability endpoints
- mtimar36960@ehrdirect.uhhospitals.org
- mtimar166832@direct-guthrie.org
- mtimar149736@direct.metrohealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 34.015252 | OH | Yes |
Addresses
Primary practice location
3800 Embassy Pkwy Ste 230
Fairlawn, OH 44333-8409
Mailing address
3800 Embassy Pkwy Ste 230
Fairlawn, OH 44333-8409
Phone (330) 666-4158
Other providers in Fairlawn, OH
- Carrie Lee Thompson
- Samantha Paige Thompson
- Selena Thompson
- Stephanie M. Thompson
- Sekai Thornburg
- Katelyn Timmer
- Catherine Tish
- Sharon Tittl
- Matthew Toker
- Sarah V Tokodi
All providers in Fairlawn, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.