Timothy L Button, RPA C
Individual provider Active NPI Physician Assistant · Geneva, NY
NPI 1639166192 · NPPES record last updated Jun 29, 2023
Key facts
- NPI
- 1639166192
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 003695 (NY)
- Practice address
- 789 Pre-Emption Rd
Suite 600
Geneva, NY 14456 - Phone
- (315) 230-5646
- Fax
- (315) 230-5645
- NPI assigned
- Sep 30, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 1983
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Frederick Ferris Thompson Hospital
Practice addresses (Care Compare)
15 Canandaigua St
Shortsville, NY 14548-9763
Phone (585) 289-3560
800 W Miller St
Suite 11
Newark, NY 14513-1354
Phone (315) 226-8900
Hospital & facility affiliations
- F F Thompson Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040610001653 | NY | Practitioner - Physician Assistant | 1355324229 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0036951 | NY | MD | Speech-Language Pathologist |
| 3695 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Frederick Ferris Thompson Hospital | Current |
Accepting new patients | |
| FLH Medical, PC | Past | Accepting new patients | |
| Genesee Valley Group Health Association | Past | Accepting new patients |
Locations
350 Parrish St
Canandaigua, NY 14424
Phone (585) 396-6000
73 Buffalo St
Ste 100
Canandaigua, NY 14424
15 Canandaigua St
Shortsville, NY 14548
Phone (585) 289-3560
Interoperability endpoints
- tbutton80842@direct.urmc.rochester.edu
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3695 | NY | |
| Physician Assistant | 363A00000X | 003695 | NY | Yes |
Addresses
Primary practice location
789 Pre-Emption Rd
Suite 600
Geneva, NY 14456
Mailing address
789 Pre Empyion Rd
Suite 600
Geneva, NY 14456
Phone (315) 230-5646
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01269956 | Medicaid | NY |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tbutton80842@direct.urmc.rochester.edu | Direct | |
| Direct Messaging Address | tbutton80842@direct.urmc.rochester.edu | Direct |
Other providers in Geneva, NY
- Karrah Bruder
- Andrew Hunt Burdick
- Brandee Lee Burley
- Aaliya Burza
- William Deane Butler
- Brian Byrd
- Christine Ann Calabrese
- Adele Marie Caputo
- Gregory G Carnevale
- Amanda Barbara Carpenter
All providers in Geneva, NY · Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 29, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.