Individual provider Active NPI

Timothy Deemer Law Jr.

  • Family Medicine Physician
  • Ada, OH
National Provider Identifier
1669973665
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.014216 Issued in OH
Practice address
604 W North Ave
Ada, OH 45810-1041
Phone
(419) 634-0431
NPI assigned
Feb 24, 2018
Last updated
Jul 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 34.014216 OH Primary

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

86 Columbus Cir Ste 203
Athens, OH 45701-1371
Phone (740) 249-4122

Other practice location 2

26 hospital drive
athens, OH 45701
Phone (740) 249-4122

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210719002923 OH Practitioner - Family Practice 3173888591 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Health Physicians Lima, LLCGroup PAC ID 3375607351, 54 clinicians

Practice addresses (Care Compare)

770 W High St
Suite 450
Lima, OH 45801-3962
Phone (419) 996-5633

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Partners Northern Region Specialty Care LLC CurrentSince Jan 25, 2023 Accepting new patients
Mercy Health Physicians Lima, LLC Family Medicine CurrentSince Jan 30, 2022 Accepting new patients
Mercy Medical Partners Northern Region Specialty Care LLC CurrentSince Jan 25, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Mercy Health-St Ritas Medical Center LLC 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

  • Direct secure messaging: tlaw868990@direct.bsmhealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1519430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1669973665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 W NORTH AVE",
            "city": "ADA",
            "state": "OH",
            "postal_code": "458101041",
            "telephone_number": "419-634-0431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 W NORTH AVE",
            "city": "ADA",
            "state": "OH",
            "postal_code": "458101041",
            "telephone_number": "419-634-0431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "86 Columbus Cir Ste 203",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "OH",
            "postal_code": "457011371",
            "country_code": "US",
            "telephone_number": "740-249-4122",
            "fax_number": "740-249-4126",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26 hospital drive",
            "address_purpose": "LOCATION",
            "city": "athens",
            "state": "OH",
            "postal_code": "45701",
            "country_code": "US",
            "telephone_number": "740-249-4122",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAW",
        "first_name": "TIMOTHY",
        "middle_name": "DEEMER",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-24",
        "last_updated": "2021-07-19",
        "certification_date": "2021-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.014216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, OH

Sources for this page

Verify at the official NPI Registry.