NPIMap

Organization Active NPI

Timothy Levar DPM LLC

  • Durable Medical Equipment & Medical Supplies
  • Willoughby Hills, OH
National Provider Identifier
1639595267
Registry record updated Apr 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
License
003672 Issued in OH
Legal business name
TIMOTHY LEVAR DPM LLC
Practice address
34600 Chardon Rd
Suite 9
Willoughby Hills, OH 44094-8480
Phone
(440) 585-2640
Fax
(440) 944-5278
NPI assigned
Mar 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2014

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

Authorized official

Name
Mrs. Monica Jean Nardy
Title
Office Manager
Phone
(440) 585-2640

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 003672 OH Primary

Addresses

Primary practice location

34600 Chardon Rd
Suite 9
Willoughby Hills, OH 44094-8480

Mailing address

34600 Chardon Rd
Suite 9
Willoughby Hills, OH 44094-8480
Phone (440) 585-2640

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140314000592 OH DME Supplier - Physician - Podiatry 8527299528 Practice locations: Willoughby Hills, OH

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Timothy Levar DPM LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

34600 Chardon Rd
Unit 8
Willoughby Hills, OH 44094
Phone (440) 585-2640

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397520000000",
    "number": "1639595267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34600 CHARDON RD",
            "address_2": "SUITE 9",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440948480",
            "telephone_number": "440-585-2640",
            "fax_number": "440-944-5278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34600 CHARDON RD",
            "address_2": "SUITE 9",
            "city": "WILLOUGHBY HILLS",
            "state": "OH",
            "postal_code": "440948480",
            "telephone_number": "440-585-2640",
            "fax_number": "440-944-5278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY LEVAR DPM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-04-15",
        "status": "A",
        "authorized_official_last_name": "NARDY",
        "authorized_official_first_name": "MONICA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "440-585-2640",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "003672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willoughby Hills, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.