Individual provider Active NPI

Timothy Mihm, P.A.

  • Medical Physician Assistant
  • Oneida, NY
National Provider Identifier
1659301729
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
008726 Issued in NY
Practice address
357 Genesee St
Suite # 2
Oneida, NY 13421-2658
Phone
(315) 363-2123
Fax
(315) 363-2549
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 008726 NY Primary

Addresses

Primary practice location

357 Genesee St
Suite # 2
Oneida, NY 13421-2658

Mailing address

357 Genesee St
Suite # 2
Oneida, NY 13421-2658
Phone (315) 363-2123

Other identifiers 1

IdentifierTypeStateIssuer
J400353781OtherNYMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20080115000710 NY Practitioner - Physician Assistant 7214018365 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oneida Medical Practice PCGroup PAC ID 9830272350, 51 clinicians

Practice addresses (Care Compare)

125 Fields Dr
Oneida, NY 13421-2642
Phone (315) 361-2205

139 Fields Dr
Oneida, NY 13421-2642
Phone (315) 361-2385

301 Genesee St
Oneida, NY 13421-2644

301 Genesee St-Attn Neurology
Suite C
Oneida, NY 13421-2644
Phone (315) 361-2377

321 Genesee St
FL 3
Oneida, NY 13421-2611
Phone (315) 606-2705

357 Genesee St
Suite 2
Oneida, NY 13421-2658
Phone (315) 363-4651

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oneida Medical Practice, PC CurrentSince Jan 1, 2017 Accepting new patients
Oneida Health Systems, Inc CurrentSince Apr 5, 2020 Accepting new patients
Ipc Hospitalist Services of New York, P.C. Past Accepting new patients

Locations

139 Fields Dr
Oneida, NY 13421
Phone (315) 361-2345

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

301 Genesee St
Ste C
Oneida, NY 13421
Phone (315) 361-2377

357 Genesee St
Ste 2
Oneida, NY 13421
Phone (315) 363-2123

Interoperability endpoints

  • Direct secure messaging: tmihm@ompohc.medentdirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1659301729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "357 GENESEE ST",
            "address_2": "SUITE # 2",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212658",
            "telephone_number": "315-363-2123",
            "fax_number": "315-363-2549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "357 GENESEE ST",
            "address_2": "SUITE # 2",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212658",
            "telephone_number": "315-363-2123",
            "fax_number": "315-363-2549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIHM",
        "first_name": "TIMOTHY",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "008726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "J400353781",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneida, NY

Sources for this page

Verify at the official NPI Registry.