NPIMap

Individual provider Active NPI

Tim Arthur Beidelschies, MD

  • Family Medicine Physician
  • Fostoria, OH
National Provider Identifier
1487714606
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7767 Issued in OH
Practice address
217 N Countyline St
Fostoria, OH 44830
Phone
(419) 435-1894
Fax
(419) 435-4244
NPI assigned
Dec 11, 2006
Last updated
Jan 2, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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 7767 OH Primary

Addresses

Primary practice location

217 N Countyline St
Fostoria, OH 44830

Mailing address

217 N Countyline St
Fostoria, OH 44830
Phone (419) 435-1894

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
I20080404000272 OH Practitioner - Family Practice 4688751340 Practice locations: Fostoria, OH

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Ohio, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

217 N Countyline St
Fostoria, OH 44830-1767
Phone (419) 435-1894

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7767OHMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Blanchard Valley Continuing Care Services Past Accepting new patients
Mercy Health - Tiffin Hospital LLC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Fostoria SNF Opco LLC Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Independence HouseFostoria, OH, CCN 365860 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Feb 24, 2003
Feb 24, 2003

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199232000000",
    "number": "1487714606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 N COUNTYLINE ST",
            "city": "FOSTORIA",
            "state": "OH",
            "postal_code": "44830",
            "telephone_number": "419-435-1894",
            "fax_number": "419-435-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 N COUNTYLINE ST",
            "city": "FOSTORIA",
            "state": "OH",
            "postal_code": "44830",
            "telephone_number": "419-435-1894",
            "fax_number": "419-435-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEIDELSCHIES",
        "first_name": "TIM",
        "middle_name": "ARTHUR",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-11",
        "last_updated": "2008-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "7767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fostoria, OH

Sources for this page

Verify at the official NPI Registry.