Organization Active NPI

Healthlink Family Practice & Sports Medicine, Inc.

  • Family Medicine Physician
  • Mason, OH
National Provider Identifier
1750363164
Registry record updated Mar 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HEALTHLINK FAMILY PRACTICE & SPORTS MEDICINE, INC.
Practice address
6860 Tylersville Rd
Suite 12
Mason, OH 45040-1236
Phone
(513) 701-5510
Fax
(513) 701-5511
NPI assigned
Nov 20, 2005
Last updated
Mar 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2017

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

Authorized official

Name
Dr. Timothy James Linker, M.D.NPI 1417955428
Title
President
Phone
(513) 701-5510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207Q00000X OH Primary
Sports Medicine (Family Medicine) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207QS0010X OH

Addresses

Primary practice location

6860 Tylersville Rd
Suite 12
Mason, OH 45040-1236

Mailing address

6860 Tylersville Rd
Suite 12
Mason, OH 45040-1236
Phone (513) 701-5510

Other identifiers 1

IdentifierTypeStateIssuer
0057407MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041216001126 OH Part B Supplier - Clinic/Group Practice 2062479447 Receives reassigned benefits from 1 practitioner
Practice locations: Mason, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1005058Healthlink Family Practice and Sports6860 Tylersville Road Suite 12, Mason, OH 45040Provider-performed microscopyOct 14, 2026

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1132444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488758400000",
    "number": "1750363164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6860 TYLERSVILLE RD",
            "address_2": "SUITE 12",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401236",
            "telephone_number": "513-701-5510",
            "fax_number": "513-701-5511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6860 TYLERSVILLE RD",
            "address_2": "SUITE 12",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450401236",
            "telephone_number": "513-701-5510",
            "fax_number": "513-701-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHLINK FAMILY PRACTICE & SPORTS MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-20",
        "last_updated": "2017-03-06",
        "status": "A",
        "authorized_official_last_name": "LINKER",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "513-701-5510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": null,
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine, Sports Medicine",
            "state": "OH",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0057407",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.