Timothy S Jarvi MD PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

4301960047 Issued in MI

Legal business name

TIMOTHY S JARVI MD PC

Practice address

2325 Summit Park Dr
Petoskey, MI 49770-8685

Phone

(231) 348-3600

Fax

(231) 348-3677

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Timothy Scott Jarvi, MDNPI 1770517120

Title

Owner

Phone

(231) 348-3600

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Eye Specialists of Northern Michigan Doing business as

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Timothy Scott Jarvi, MD

  • Ophthalmology Physician
  • Petoskey, MI
  • NPI 1770517120
  Medicare reassignment NPD Authorized official
• Debra Lin Denton, O.D.

  • Optometrist
  • Petoskey, MI
  • NPI 1124053954
  Medicare reassignment NPD
• Max Harris Engelman, OD

  • Optometrist
  • Petoskey, MI
  • NPI 1730196262
  Medicare reassignment NPD

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1821028846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2325 SUMMIT PARK DR",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708685",
            "telephone_number": "231-348-3600",
            "fax_number": "231-348-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2325 SUMMIT PARK DR",
            "city": "PETOSKEY",
            "state": "MI",
            "postal_code": "497708685",
            "telephone_number": "231-348-3600",
            "fax_number": "231-348-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY S JARVI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "JARVI",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "231-348-3600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "4301960047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "180045754",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MICHIGAN",
            "identifier": "1802400811",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4441872",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Specialists of Northern Michigan",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• The Men'S Counseling Center of Northern Michigan, LLC
• Therapy Solutions LLC
• Alexa Taylor Thibault
• Daniel Thompson
• Thomas Tietjen, M.D.
• Timothy S. Jarvi MD PC
• Kyrsee Tingstad
• Elise M Tippett, LMSW
• Maureen Todd
• Tom Tietjen MD PLLC

• Ophthalmology Physician in Petoskey, MI
• Providers in Petoskey, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.