Individual provider Active NPI

James R Timko, M.A.,CCC-A

  • Audiologist
  • Deland, FL
National Provider Identifier
1508979246
Registry record updated Dec 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AY393 Issued in FL
Practice address
844 N Stone St Ste 206
Deland, FL 32720-3208
Phone
(386) 736-7192
Fax
(386) 736-8520
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY393 FL Primary

Addresses

Primary practice location

844 N Stone St Ste 206
Deland, FL 32720-3208

Mailing address

844 N Stone St Ste 206
Deland, FL 32720-3208
Phone (386) 736-7192

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120626000236 FL Practitioner - Qualified Audiologist 3274798210 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

844 N Stone St
Suite 206
Deland, FL 32720-3208
Phone (386) 736-7192

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
AY393FLMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Timko Hearing Care, P.L. CurrentSince Mar 16, 2012 Accepting new patients
Coastal Ear Nose & Throat PA CurrentSince May 1, 2012 Accepting new patients
Timko Hearing Care, P.L. Past Accepting new patients
Timko Hearing Care, P.L. Past Accepting new patients
Timko Hearing Care, P.L. Past Accepting new patients
Florida ENT Associates, Inc. Past Accepting new patients

Locations

844 N Stone St
Ste 206
Deland, FL 32720
Phone (386) 736-7162

100 E New York Ave
Ste 103
Deland, FL 32724
Phone (386) 200-6412

1050 W Granada Blvd
Ste 3
Ormond Beach, FL 32174
Phone (386) 677-2366

1050 W Granada Blvd
Ste 4
Ormond Beach, FL 32174
Phone (386) 677-8808

1185 Dunlawton Ave
Ste 103
Port Orange, FL 32127
Phone (386) 756-8225

Organizations & group practices 6

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": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640822400000",
    "number": "1508979246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "844 N STONE ST STE 206",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203208",
            "telephone_number": "386-736-7192",
            "fax_number": "386-736-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "844 N STONE ST STE 206",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203208",
            "telephone_number": "386-736-7192",
            "fax_number": "386-736-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMKO",
        "first_name": "JAMES",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "M.A.,CCC-A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.