Individual provider Active NPI

Tiffany Renee McKirnan, PA-C

  • Surgical Physician Assistant
  • Lima, OH
National Provider Identifier
1568659118
Registry record updated Jan 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
50003777 Issued in OH
Practice address
1005 Bellefontaine Ave Ste 225
Lima, OH 45804-2896
Phone
(419) 998-8244
Fax
(419) 998-8243
NPI assigned
Sep 27, 2007
Last updated
Jan 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 10000963A IN
Surgical Physician Assistant 363AS0400X 085003049 IL
Surgical Physician Assistant 363AS0400X 50003777 OH Primary

Addresses

Primary practice location

1005 Bellefontaine Ave Ste 225
Lima, OH 45804-2896

Mailing address

1001 Bellefontaine Ave
Lima, OH 45804-2800
Phone (419) 998-4575

Other names 1

  • Miss Tiffany R Hehmeyer Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tiffany.mckirnan@lmpc.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130807000790 OH Practitioner - Physician Assistant 5597846907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1001 Bellefontaine Ave
Lima, OH 45804-2800
Phone (419) 998-4575

1005 Bellefontaine Ave
Suite 225
Lima, OH 45804-2896
Phone (419) 998-8276

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085003049ILMDSurgical Physician Assistant
10000963AINMDSurgical Physician Assistant
50003777OHMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Professional Corporation CurrentSince Jan 3, 2018 Accepting new patients
Lima Memorial Professional Corporation CurrentSince Jan 3, 2018 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

L3982
Columbus, OH 43260

1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335

1003 Bellefontaine Ave
Ste 200
Lima, OH 45804
Phone (419) 224-5914

1005 Bellefontaine Ave
Ste 125
Lima, OH 45804
Phone (419) 222-5160

1005 Bellefontaine Ave
Ste 225
Lima, OH 45804
Phone (419) 998-8276

951 Commerce Pkwy
Ste 201
Lima, OH 45804
Phone (419) 227-7702

Interoperability endpoints

  • Direct secure messaging: tiffany.mckirnan@lmpc.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1568659118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 BELLEFONTAINE AVE",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458042800",
            "telephone_number": "419-998-4575",
            "fax_number": "419-998-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 BELLEFONTAINE AVE STE 225",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458042896",
            "telephone_number": "419-998-8244",
            "fax_number": "419-998-8243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKIRNAN",
        "first_name": "TIFFANY",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-27",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IN",
            "license": "10000963A",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "IL",
            "license": "085003049",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OH",
            "license": "50003777",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tiffany.mckirnan@lmpc.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1005 Bellefontaine Ave Ste 225",
            "city": "Lima",
            "state": "OH",
            "country_code": "US",
            "postal_code": "458042896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "HEHMEYER",
            "middle_name": "R",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.