Individual provider Active NPI

Trent J Timmons, D.O.

  • Emergency Medicine Physician
  • Circleville, OH
National Provider Identifier
1790957488
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34.009022 Issued in OH
Practice address
600 N Pickaway St
Circleville, OH 43113-2409
Phone
(740) 474-2126
Fax
(740) 477-1022
NPI assigned
Apr 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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 34.009022 OH Primary

Addresses

Primary practice location

600 N Pickaway St
Circleville, OH 43113-2409

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Other practice location 1

1330 Coshocton Ave
Mount Vernon, OH 43050-1495
Phone (740) 393-9000

Other practice location 2

1365 N Lexington Springmill Rd
Ontario, OH 44906-1126
Phone (419) 520-3000

Other identifiers 1

IdentifierTypeStateIssuer
2861069MedicaidOH

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
I20080825000152 OH Practitioner - Emergency Medicine 1153496294 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
91.05 of 100Reported as group
Quality
84.85
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.009022OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Ohio Emergency Group, LLC Emergency Medicine CurrentSince Feb 1, 2019 Accepting new patients
Knox Emergency Services, LLC Emergency Medicine CurrentSince Sep 30, 2012 Accepting new patients
Ohio Emergency Professionals Inc Emergency Medicine CurrentSince Mar 1, 2017 Accepting new patients
Circleville Emergency Physicians Inc. Emergency Medicine Past Accepting new patients

Locations

200 Corporate Blvd
Lafayette, LA 70508

1720 Ohiohealth Way
Ashland, OH 44805
Phone (567) 309-4000

600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479

1460 Orange St
Coshocton, OH 43812
Phone (740) 545-7919

630 Eaton Ave
Hamilton, OH 45013
Phone (513) 867-2000

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

1330 Coshocton Ave
Mount Vernon, OH 43050
Phone (740) 393-9019

1365 N Lexington Springmill Rd
Ontario, OH 44906
Phone (419) 520-3000

100 Dawn Ln
Waverly, OH 45690
Phone (740) 947-2186

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.

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1790957488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N PICKAWAY ST",
            "city": "CIRCLEVILLE",
            "state": "OH",
            "postal_code": "431132409",
            "telephone_number": "740-474-2126",
            "fax_number": "740-477-1022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1330 Coshocton Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Vernon",
            "state": "OH",
            "postal_code": "430501495",
            "country_code": "US",
            "telephone_number": "740-393-9000",
            "fax_number": "740-399-3130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1365 N Lexington Springmill Rd",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "OH",
            "postal_code": "449061126",
            "country_code": "US",
            "telephone_number": "419-520-3000",
            "fax_number": "419-520-3020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIMMONS",
        "first_name": "TRENT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-02",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.009022",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2861069",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Circleville, OH

Sources for this page

Verify at the official NPI Registry.