Active NPI
Timothy E Archer, M.D.
- Emergency Medical Services (Emergency Medicine) Physician
- Frankfort, MI
National Provider Identifier
1619972148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medical Services (Emergency Medicine) Physician
- License
- 4301049093
- Practice address
- 224 Park Ave
Frankfort, MI 49635-9658 - Phone
- (231) 352-2200
- Fax
- (231) 352-2232
- NPI assigned
- Jun 21, 2005
- Last updated
- Nov 21, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | 4301049093 | MI | Primary |
Addresses
Primary practice location
224 Park Ave
Frankfort, MI 49635-9658
Mailing address
224 Park Ave
Frankfort, MI 49635-9658
Phone (231) 352-2200
Other practice location 1
1105 6th St
Traverse City, MI 49684-2349
Phone (231) 947-0673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paul Oliver Memorial Hospital | Current | Accepting new patients |
Locations
224 Park Ave
Frankfort, MI 49635
Phone (231) 352-2200
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
Organizations & group practices 1
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.
-
- Critical Access Hospital
- Frankfort, MI
- NPI 1427054360
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668988800000",
"number": "1619972148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 PARK AVE",
"city": "FRANKFORT",
"state": "MI",
"postal_code": "496359658",
"telephone_number": "231-352-2200",
"fax_number": "231-352-2232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 PARK AVE",
"city": "FRANKFORT",
"state": "MI",
"postal_code": "496359658",
"telephone_number": "231-352-2200",
"fax_number": "231-352-2232"
}
],
"practiceLocations": [
{
"address_1": "1105 6th St",
"address_purpose": "LOCATION",
"city": "Traverse City",
"state": "MI",
"postal_code": "496842349",
"country_code": "US",
"telephone_number": "231-947-0673",
"fax_number": "801-740-2847",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ARCHER",
"first_name": "TIMOTHY",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2022-11-21",
"certification_date": "2022-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "MI",
"license": "4301049093",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Frankfort, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.