Timothy Deemer Law Jr.
Individual provider Active NPI Family Medicine Physician · Ada, OH
NPI 1669973665 · NPPES record last updated Jul 19, 2021
Key facts
- NPI
- 1669973665
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 34.014216 (OH)
- Practice address
- 604 W North Ave
Ada, OH 45810-1041 - Phone
- (419) 634-0431
- NPI assigned
- Feb 24, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Health Physicians Lima, LLC
Practice addresses (Care Compare)
770 W High St
Suite 450
Lima, OH 45801-3962
Phone (419) 996-5633
Hospital & facility affiliations
- Mercy Health St Ritas Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210719002923 | OH | Practitioner - Family Practice | 3173888591 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Health Physicians Lima, LLC | Family Medicine | Current |
Accepting new patients |
| Mercy Medical Partners Northern Region Specialty Care LLC | Current |
Accepting new patients | |
| Mercy Medical Partners Northern Region Specialty Care LLC | Current |
Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
604 W North Ave
Ada, OH 45810
Phone (419) 634-0431
1400 E 2nd St
Defiance, OH 43512
Phone (419) 784-1414
770 W High St
Ste 450
Lima, OH 45801
Phone (419) 996-5069
1600 E Riverview Ave
Ste 101
Napoleon, OH 43545
Phone (419) 592-8774
Interoperability endpoints
- tlaw868990@direct.bsmhealth.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 34.014216 | OH | Yes |
Addresses
Primary practice location
604 W North Ave
Ada, OH 45810-1041
Mailing address
604 W North Ave
Ada, OH 45810-1041
Phone (419) 634-0431
Other practice location 1
26 hospital drive
athens, OH 45701
Phone (740) 249-4122
Other practice location 2
86 Columbus Cir Ste 203
Athens, OH 45701-1371
Phone (740) 249-4122
Other providers in Ada, OH
- Luke Austin Klinehoffer
- David W Koh
- Lawrence Joseph Kuk Jr.
- Jordan Laudick
- Kaitlin Elizabeth Law
- Justin Eugene Lehman
- Joshua David Lehsten
- Alana Lemaster
- Steven Leonard
- Megan Lieb
All providers in Ada, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 19, 2021. 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.