Individual provider Active NPI

Timothy Kenneth Muchnok, D.O.

  • Emergency Medicine Physician
  • Canton, OH
National Provider Identifier
1699985986
Registry record updated Jan 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS014698 Issued in PA
Practice address
4535 Dressler Rd NW
Canton, OH 44718-2545
Phone
(330) 493-4443
Fax
(330) 493-8677
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS014698 PA Primary

Addresses

Primary practice location

4535 Dressler Rd NW
Canton, OH 44718-2545

Mailing address

500 Sandra LN
Cheswick, PA 15024-4016
Phone (412) 477-5222

Other identifiers 1

IdentifierTypeStateIssuer
102306352MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20090515000056 PA Practitioner - Emergency Medicine 7315096682 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.36 of 100Reported as group
Quality
79.93
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
99 of 100Reported as group
Quality
95.9
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ahn Emergency Group of West Penn LTD. Emergency Medicine CurrentSince Apr 1, 2014 Accepting new patients
Ahn Emergency Group of Indiana County, LTD Emergency Medicine CurrentSince Jun 1, 2016 Accepting new patients
Ahn Emergency Group of Pittsburgh LTD. Emergency Medicine CurrentSince Jun 10, 2021 Accepting new patients
Ahn Emergency Group of Forbes LTD. Emergency Medicine CurrentSince Apr 1, 2014 Accepting new patients
Emergency Medicine Physicians of Lawrence County LTD Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Allegheny County LTD Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Alle-Kiski, LTD Emergency Medicine Past Accepting new patients

Locations

4535 Dressler Rd NW
Canton, OH 44718
Phone (330) 994-4409

835 Hospital Rd
Indiana, PA 15701
Phone (724) 357-7000

2570 Haymaker Rd
Monroeville, PA 15146
Phone (412) 858-2000

1301 Carlisle St
Natrona Hts, PA 15065
Phone (724) 224-5100

4800 Friendship Ave
Pittsburgh, PA 15224
Phone (412) 359-3030

320 E North Ave
Pittsburgh, PA 15212
Phone (412) 359-3131

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390348800000",
    "number": "1699985986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SANDRA LN",
            "city": "CHESWICK",
            "state": "PA",
            "postal_code": "150244016",
            "telephone_number": "412-477-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 DRESSLER RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182545",
            "telephone_number": "330-493-4443",
            "fax_number": "330-493-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUCHNOK",
        "first_name": "TIMOTHY",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2014-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS014698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102306352",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, OH

Sources for this page

Verify at the official NPI Registry.