NPIMap

Individual provider Active NPI

Michael Anthony Timar, DO

  • Family Medicine Physician
  • Fairlawn, OH
National Provider Identifier
1477042968
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.015252 Issued in 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
Last updated
Dec 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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 34.015252 OH Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221208001410 OH Practitioner - Family Practice 4183976962 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

158 W Main Rd
Conneaut, OH 44030-2039

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.015252OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Primary Care Practices Inc Current Accepting new patients
The Metrohealth System Current Accepting new patients
University Primary Care Practices Inc Family Medicine CurrentSince Dec 1, 2022 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
University Primary Care Practices Inc CurrentSince Dec 1, 2022 Accepting new patients
University Primary Care Practices Past Accepting new patients
University Hospitals Medical Group Inc Past Accepting new patients
Copley Medical Group, Inc Family Medicine PastSince Dec 8, 2024 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

  • Direct secure messaging: mtimar149736@direct.metrohealth.org
  • Direct secure messaging: mtimar166832@direct-guthrie.org
  • Direct secure messaging: mtimar36960@ehrdirect.uhhospitals.org

Organizations & group practices 9

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.

Hospital & facility affiliations 10

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": "1525824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1477042968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 EMBASSY PKWY STE 230",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443338409",
            "telephone_number": "330-666-4158",
            "fax_number": "330-668-2256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 EMBASSY PKWY STE 230",
            "city": "FAIRLAWN",
            "state": "OH",
            "postal_code": "443338409",
            "telephone_number": "330-666-4158",
            "fax_number": "330-668-2256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMAR",
        "first_name": "MICHAEL",
        "middle_name": "ANTHONY",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-09",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.015252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairlawn, OH

Sources for this page

Verify at the official NPI Registry.