Timothy A Heinrichs, M.D.
Individual provider Active NPI Family Medicine Physician · Coldwater, OH
NPI 1891796272 · NPPES record last updated Sep 22, 2015
Key facts
- NPI
- 1891796272
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 35055465 (OH)
- Practice address
- 116 W Main St
Suite 1
Coldwater, OH 45828-1773 - Phone
- (419) 763-5300
- Fax
- (419) 763-5305
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091113000551 | OH | Practitioner - Family Practice | 7618015439 | Practice locations: Coldwater, OH |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35055465 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35055465 | OH | Yes |
Addresses
Primary practice location
116 W Main St
Suite 1
Coldwater, OH 45828-1773
Mailing address
116 W Main St
Suite 1
Coldwater, OH 45828-1773
Phone (419) 763-5300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0686913 | Medicaid | OH |
Other providers in Coldwater, OH
- HCF of Briarwood Inc
- HCF of Briarwood, Inc.
- HCF of Briarwood, Inc.
- Health Care Products Inc
- Karen Heckman
- Robert John Hibner
- Brittany Ann Homan
- Kelsey Homan
- Kurtis Homan
- Joel Howe
All providers in Coldwater, OH · Family Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 22, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.