Active NPI
Timothy Jay Brown, D.P.M.
- Podiatrist
- Marion, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 36-002003
- Practice address
- 1051 Harding Memorial Pkwy
Suite B
Marion, OH 43302-6347 - Phone
- (740) 383-5115
- Fax
- (740) 387-3668
- NPI assigned
- Mar 14, 2006
- Last updated
- Mar 22, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 36-002003 | OH | Primary |
Addresses
Primary practice location
1051 Harding Memorial Pkwy
Suite B
Marion, OH 43302-6347
Mailing address
1051 Harding Memorial Pkwy
Suite B
Marion, OH 43302-6347
Phone (740) 383-5115
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0481447 | Medicaid | OH |
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: No
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2003 | OH | MD | Chiropractor |
| 36-002003 | OH | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ankle and Foot Specialists of Marion, Inc | Podiatrist | Current | Accepting new patients |
| Marion Regional Cancer Center | Past | Accepting new patients | |
| Marion Independent Physicians Association, LLC | Podiatrist | Past | Accepting new patients |
Locations
6200 Pleasant Ave
Ste 3
Fairfield, OH 45014
Phone (513) 745-9988
1051 Harding Memorial Pkwy
Marion, OH 43302
Phone (740) 383-5115
1051 Harding Memorial Pkwy
Ste B
Marion, OH 43302
Phone (740) 383-5115
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EAFGDD
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.
-
- Podiatrist
- Marion, OH
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1649249749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1051 HARDING MEMORIAL PKWY",
"address_2": "SUITE B",
"city": "MARION",
"state": "OH",
"postal_code": "433026347",
"telephone_number": "740-383-5115",
"fax_number": "740-387-3668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1051 HARDING MEMORIAL PKWY",
"address_2": "SUITE B",
"city": "MARION",
"state": "OH",
"postal_code": "433026347",
"telephone_number": "740-383-5115",
"fax_number": "740-387-3668"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "TIMOTHY",
"middle_name": "JAY",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "OH",
"license": "36-002003",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0481447",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marion, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.