Individual provider Active NPI

Timothy Lemaire, DO

  • Family Medicine Physician
  • Nome, AK
National Provider Identifier
1811345838
Registry record updated Sep 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
140167 Issued in AK
Practice address
1000 Greg Kruschek Ave
Nome, AK 99762
Phone
(907) 562-9229
Fax
(907) 561-4806
NPI assigned
May 31, 2016
Last updated
Sep 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 110432 AK
Family Medicine Physician 207Q00000X 140167 AK Primary

Addresses

Primary practice location

1000 Greg Kruschek Ave
Nome, AK 99762

Mailing address

PO Box 966
Nome, AK 99762
Phone (866) 907-1068

Other identifiers 1

IdentifierTypeStateIssuer
1646661MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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
I20201101000021 AK Practitioner - Family Practice 9739471392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Norton Sound Health CorporationGroup PAC ID 7517858137, 13 clinicians

Practice addresses (Care Compare)

1000 Greg Kruschek Ave
Nome, AK 99762-0966
Phone (907) 443-3311

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110432AKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Sound Health Corporation Family Medicine CurrentSince Jul 21, 2020 Accepting new patients
Norton Sound Health Corporation CurrentSince May 1, 2025 Accepting new patients
Norton Sound Health Corporation CurrentSince Jul 21, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tlemaire@direct.nshcorp.org

Organizations & group practices 3

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": "1464652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600300800000",
    "number": "1811345838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 966",
            "city": "NOME",
            "state": "AK",
            "postal_code": "99762",
            "telephone_number": "866-907-1068",
            "fax_number": "425-917-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 GREG KRUSCHEK AVE",
            "city": "NOME",
            "state": "AK",
            "postal_code": "99762",
            "telephone_number": "907-562-9229",
            "fax_number": "907-561-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMAIRE",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-31",
        "last_updated": "2020-09-17",
        "certification_date": "2020-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "110432",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "140167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1646661",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nome, AK

Sources for this page

Verify at the official NPI Registry.